I am sorry you have been dealing with all of this over the last couple years! Doesn't sound like fun at all!
One thing you should know about endometriosis, the amount or stage in no way dictates the level of symptoms and pain. Women with minimal or stage I endometriosis can actually have more pain than someone with stage IV or aggressive endometriosis! It doesn't really make sense! My own GYN's theory is that older and more aggressive endometriosis may damage the nerves, eliminating their ability to send pain signals.
Another thing to consider is that a hysterectomy is not a cure for endometriosis. If you are diagnosed with bacterial vaginosis, I don't believe that is cured with a hysterectomy either as the discharge originates in the vagina. If the discharge you are experiencing is related to the uterus, removing the uterus could end that issue. If any pain you are experiencing is related to the uterus, that pain could be eliminated. Bleeding from the actual uterus would also stop. But any symptoms that are not from specifically form the uterus could continue post hysterectomy.
Also, when weighing your pros and cons, keep in mind that a hysterectomy is not a risk free surgery. Not all of us have a happily ever after surgery! There are number of side effects that should be considered as you could trade one set of problems for a new set!
To very briefly share my experience with you, I had a hysterectomy for stage IV endometriosis. We choose a hysterectomy as I had been bleeding almost every day for two years and we could not stop it. During my first lap, the endometriosis was found. It was extensive and involved the outside of my uterus.
Following my hysterectomy, I had numerous complications resulting in a lengthy hospital stay and a very long recovery. My health was negatively impacted for a very long time and all of it was difficult on not only me but my family and small children.
Additionally, my GYN was not able to remove all of the endometriosis, so I continued to have endo issues for many years post op. I finally traveled to an endo specialist for more surgery.
I would encourage you to learn all you can about endometriosis and the bacterial vaginosis you are dealing with. We have an extensive Resource Database
where you should find a lot of information.
I don't know what you have up to this point, but some options I found for the bacterial vaginosis include the antibiotics Flagyl (either as an oral med or vaginal cream), Tinidazole, or Clindamycin.
Options for treating your endometriosis issues include surgical removal of the implants, Depo Provera (or other progestin/progesterone treatment), Lupron, Danazol, an aromatase inhibitor, and pain management. When it comes to endometriosis, you do want to find the most skilled and knowledgeable doctor you can. If you can't find an endometriosis specialist
, check around to see if there is a physician in your area who treats chronic pelvic pain issues. Also, reproductive endocrinologist sometimes have extensive knowledge and skills when it comes to treating endometriosis. Some women with endo have had surgical success with a gynecological oncologist.
I wish you all the best for whatever you and your medical team determine is best for you!