P,S. Regarding pain. Just depends on the type of problem and how advanced it might be.Sad to say, but it also depends on what types of "alternative care" you get to help handle discomfort.Alternative methods are wonderful for a lot of things.When my big pain started I was able to use alternative modalities to have a active athletic life.However, as my condition became more advanced because the gynecology reasons for the problems were not being addressed, the alternative modalities were not able to provide the relief they once had.So you betcha there can be pain. Eventually, with some conditions, there can be horrible life debilitating pain.In my case, my colon was FUSING to my ovary from endometriosis and adhesions.If I had not had my surgery I probably would have wound up in the OR at some later date having my colon addressed. As luck would have it I tended my problems in time and only the ovary was literally destroyed in trying to liberate the colon in one piece.So, it's a real thing.