How often did you chose to purse excision surgery versus birth control or other pain management options, when dealing with persistent endometriosis pain?

I’m currently dealing with reoccurring, persistent endo pain nearly a year since my first excision surgery. I had a few months pain free after that initial surgery, but it’s now come back to the point that it’s affecting my sleep and daily activities again. What were some factors that led you to consider pursing another excision surgery within x amount of time OR seek out birth control/other forms of hormonal treatment instead of surgery? I’m basically trying to figure out if I should pursue surgery so soon. But I’m also worried that they’ll go in and not find anything and/or if requesting low-dose birth control would be a better option. I’m in my mid-20s and haven’t had kids, so my specialist isn’t eager about birth control, but I’m struggling to manage my daily pain.

Any tips or advice would be super helpful. Thanks!