How can i still have pain even after years of surgeries and a full hysterectomy . can there be endometriosis in the layers of muscle ? why am i bleedi

Yes: After years of pelvic surgery, pts can experience pain due to scarring, or adhesions in the area. Endometriosis can have "seeds" of growth anywhere in the pelvic cavity and its possible that it may be also be the cause of your pain and bleeding. Best to discuss this with your gyn.

Pelvic pain: Usually, pelvic pain due to endometriosis is relieved by complete hysterectomy and removal of ovaries. Sometimes scar tissue, unexcised lesions or adhesions cause persistent pain. More likely, there are other causes. Get a thorough work up through a gyn specialist.

Alternative cause: In cases of recurrent pain after hysterectomy, review of "uterus pathology report" can reveal whether diagnosis was appropriate. Concerned women can obtain report directly from hospital medical records department without need for doctor consent & then ask an interested doctor to review & explain. Private consultation with an interested doctor (i myself do for charity) is available at healthtap.