Stage 4 endo- why no Hysterectomy?

Patient : I am a 38 year old woman diagnosed with stage 4 Endometriosis 5 years ago. It was diagnosed during surgery to remove one ovary due to a large cyst. The adhesions on my bowel, ovaries and pelvic wall were the worst my dr, and another doctor called in to advise, had ever seen and they weren't even sure it could be removed (it was), although not laparascopically. When the ovary was removed, my doctor said it fell apart in her hand. Two cysts in my remaining ovary were drained. Now I have had ovarian pain and pelvic swelling increasing in severity for 3 weeks straight. I can even see bruising. I had a trans vag ultrasound today and am awaiting results. My worst fear is that I will have to have continual surgeries, keeping me out of work and saddled with medical bills. Can you please explain why my doctor is not yet willing to consider a hysterectomy? I have never had children and don't want to birth any-- I am passionate about adoption. I know many women younger than me with the same condition that have been allowed the surgery, the only difference between us is that they have kids. I know a hysterectomy is serious, and has it's own risks, but it seems completely off the table and I don't understand why. Can you please help me understand what the medical community thinks about this?
Symptoms:  pain, swelling, bruising
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