I have endometriosis, adenomyosis and now an ovarian cyst. past ectopic and 2 c-sections. i am 41. dr suggests hysterectomy. is this my only option?

A hysterectomy: is usually the last resort for a woman with symptomatic endometriosis, but that may well be your situation. You have had two pregnancies, so I presume future pregnancy is not in your plans at age 41.Very possibly you have already had hormone treatment including Gn-RH agonist/antagonists and perhaps even Danazol. If not, discuss these with your doctor. If pursued, remove uterus and ovaries.