Jamie - If you are experiencing the bloating in the lower abdomen, it can be from many things - not necessarily the endo. I have had the bloating for a long time, and after food journaling, I've realized that my body doesn't do well with gluten/dairy. I've recently been cutting these out of my diet, and I have felt better in that respect. Although I am still experiencing pain from suspected endo in my pelvic area and lower back. I think I could have colo-rectal endo, I see my GYNO next month to talk about things (she has me on consequetive bcp and so far it hasn't done anything for my pain).
I think you are on the right track being on Metformin and an anti-androgen. You sound like you are a physically active person as well, which is a good treatment in and of itself.
If you really think the endo is back, you should look into having another lap, and at least discussing some medical options like Lupron.
Best wishes
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