Hi . That sounds extremely painful. Have you been treated for your endometriosis at all since that last surgery 20 years ago? Given your symptoms, it would be a good idea to at least see your primary care doctor as soon as possible for an evaluation. Your pain might be caused by endometriosis, but it might be a different health condition altogether. There is no way to know for certain without further testing. Please make an appointment and let us know how it goes. I will be thinking of you. - Lori (Team Member)