My understanding is that excision surgeons are better at removing them. Apparently, most surgeons who do ablation just drain the cyst but leave the wall there, so it fills up more quickly. That's not to say that more endometriomas can't form, but that the removal of one is better with an excision surgeon.

Some articles on this I found interesting:

https://www.endofound.org/ask-harry-surgeons-ne...

https://www.drseckin.com/endometriomas-what-you...

https://www.drseckin.com/ovarian-cyst-pelvic-mass

I also had the endometrial ablation. I was unfortunately not put under and it was so painful!! You just have to be sure you don't want/want any more kids. But it did stop my heavy and painful periods. I also had an endometrioma on my right ovary, they ended up removing it because it was causing so much pain.

I've had multiple complex endometrioma cysts in the last year. A couple were removed during my surgery and a couple ruptured on their own. Of course after surgery, they grew back. You can't stop these things they're like cancer.

Cyst rupture of that degree is extremely painful. To me it felt like my appendix had burst. I would ask your doctor for monthly ultrasounds just to make sure they don't need to be removed surgically.

Google endometrial ablation i never heard about it until i was experiencing same thing as you are, they are doing this today on me under general anesthesia, for women like us who have severe pain and heavy bleeding might got really bad as well, now anemic because loss of blood. Good lucky lady . Big hug

Sorry, I only had Stage 2. You can also try searching ‘chocolate cyst’ in the search bar to find threads about it.