I have severe endometriosis have had two surgeries possibly need a 3rd but I’m holding off at the moment. I can’t take many hormones due to migraines and risk of stroke and the only one left to try is the coil. Which They won’t give me as I want to try for a baby in the next 12 months and I don’t really want right now. The endo pain is severe but I have a routine and I can manage quite well with codine morphine when needed lots of hot water bottles and a good cry. I’ve been exhausted for 3 weeks of the month bleeding for 14+ days in pain I also suffer with pelvic pain and can’t walk or stand for long periods of times I’m depressed snappy huge anger outbursts feeling extremely low and then extremely happy. It’s been I’ve been diagnosed with severe pmdd which all makes sense and I’ve recently found out my folic acid levels are low and iron levels are low too I’m now on vitamins to help but they will take a few weeks if not longer to hopefully help or feel an effect. From google ive found my serotonin levels are probably low and taking a vitamin that may help that. It’s the extreme exhaustion that’s killing me my life is spent put on hold or days out ruined because I’m exhausted and can’t keep my eyes open. Does anyone have any tips on how to help with the exhaustion I really only take strong pain killers when I need them I don’t really want antidepressant for my pmdd. My diets pretty good I drink once a month and probably have two single vodka lemonades I don’t smoke don’t have coffee or tea limit my gluten and dairy intake as it makes me sick if I eat to much of it although I’m not intolerant. I do have a can of Coke Zero or normal coke a day but that’s it I try and go to the gym if I can for light exercise or try and walk part way to work but often I get the bus because of the pain. I sleep ten hours a night on average. I’m at a loss on what more I can do there is no cure for endometriosis at the moment I’ve seen many specialists even paying to see a top recommended specialist too and although he’s amazing and understanding he can’t offer me much unless a cure comes his way endo a side any tips on the exhaustion it’s causing me to work 3 days a week and I’ve taken on another half day recently but it’s really effecting me. I’m only 27 on a recent weekend away i was having to nap every evening before dinner and sit down as I was In pain my partner is so understanding but I’ve been dealing with this since I was 12/13 I want some relief