I was diagnosed with endometriosis via laparoscopy?

I was diagnosed with endometriosis via laparoscopy March 2016. Had an endometrioma on left ovary as well as “endometriosis everywhere”. Opted for Mirena IUD to control, but had it removed one year later due to side effects being greater than the pain.
My question is, at what point do I request another surgery? The pain is quickly becoming severe (wakes me up in the middle of the night, taking too much ibuprofen to control the pain….up to 4000mg a day) but after two ultrasounds, the visual evidence does not support another surgery. The pain only occurs during my cycle, but it is circling back to point that I have to schedule around it.
I have tried the pill in the past, but I do not do well on it, to say the least. And my “doctor” (NP) tells me that if I do not take hormonal assistance, there is nothing else to be done.

I was diagnosed with endometriosis via laparoscopy March 2016

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Dr.Honey Arora
8:35 am

Endometriosis pain is controlled with NSAID like Ibuprofen but it does not reduce the size of implants being formed..
So for this hormonal assistance or surgery are the options..
Also can you please tell me the reason for avoiding Surgery if you already have increasing pain?

Please revert back with answers..