Need advice on endometriosis treatment

You should be seeing an excision only specialist. Some are OBGYN, some are MIGS, etc. Excision only specialists DO offer medical management as well as surgery, often folks think they just offer surgery. If your doctor believes ablation is appropriate then run for the hills.

Doctor shopping is important and not the same as Munchausen. And I fully advocate for bullying your doctors into doing what you need if they're spewing bs. Depo is not a permanent solution, you need pain management.

Not all doctors are created equal. If your doctor doesn't listen to you, go to another one. I had an OBGYN who didn't listen to me/want to talk about certain issues I had (particularly about taking testosterone). She would cut me off and tell me to "go talk to your people about that". Bottom line: stand up for yourself and go to doctors that will treat you right

the doctor who will help you is your obgyn!

Just keep seeing your OBGYN!