Options depend on whether or not pelvic pain is an issue, and if you’re trying to conceive now, want kids in the future, or are done with childbearing. Medical treatment options are available -Depo Lupron shots work best, and we can also use letrozole tablets or birth control pills. Surgical options consist of laparoscopy with excision or ablation of the endometriosis, versus definitive surgery for women who have completed their families – removal of both ovaries with or without hysterectomy. Fertility patients may need In Vitro Fertilization after Depo Lupron treatment or medications and IUI.