Orilissa or surgery are what helped me. Full hysterectomy with ovaries removed too was the best thing I ever done. Taking birth control didn't help me much at all. Heating pads on back & abdomen, plus hot baths do help. There's even teas they make to help with the menstrual pain. I swear by orilissa Tho. I was scared to do it, so I put off taking it for years once I took it though I felt a million times better. It can make you have menopause symptoms like hot flashes. But I got hot flashes alot with my cycle anyway so that didn't matter. I wish in 2017 I had the hysterectomy when I had my 1st endometeriosis surgery but I wanted kids. Never Could have any though. Laproscopy with an actual endometriosis doctor is your best bet. Don't go to a typical obgyn they don't do as well. There are drs that just do endometeriosis patients only all day every day. Go onto the Facebook group Nancy nook and they can point you in the right direction with the best endo surgeon in your area. Don't put it off. I had stage 4 endo and adenomyosis on steroids. It ate it's way outside my uterus and went inside my colon, strangled my colon in many spots where I had to have some of my colon removed. It had been all over my bladder and luckily wasn't inside. It did wrap around my kidney ureter and I almost lost my kidney if I didn't have surgery. No more appendix or gallbladder. I had multiple cyst and growth the size of small melons. 1 growth was the size of a baby in my uterus. Don't put it off. I had imaging for years and drs never saw anything with ultrasounds. It was a mri Defotography test thst saw I had it bad. My Dr did surgery I'm up there in top 2% worst cases recorded. It not only effects your fertility and causes pain It can take your life

Sometimes a Tens machine helps me especially with cramps