So sorry to hear you're enduring increasing pain.
I, too, have a history of endometriosis and adhesions. It seems that you would benefit from surgery with an endo specialist to have all endo completely and thoroughly removed. If you have your endo removed you will have a good chance of reducing or eliminating future adhesion formation. Endo lesions bleed in response to our menstrual cycle. The blood released into the pelvis by the lesions is an irritant to surrounding tissue which then causes inflammation and adhesions and scarring to form. Many times if the source of the bleeding, the endo implants, is removed then we do not form new adhesions. As long as you have endo you will likely continue to grow new adhesions.
Have you considered surgery with one of the nationally known experts in the treatment of endometriosis? I traveled across country for surgery with Dr. Andrew Cook. You can learn more about Dr. Cook and his treatment philosophy at his websites http://www.pelvicpain.com or http://www.vitalcareinstitute.com Thanks to Dr. Cook I have not suffered with endo pain in over 4 years.
Dr. Cook is also a Reproductive Endocrinologist with a lot of experience treating infertility. He may be able to give you some guidance in that area as well.
Please let me know if I can answer any questions.
-- Debbie