My doctor today decided that I need to have surgery this Thursday. Ovarian tissue left from February 2010's surgery regrew into a functioning ovary, complete with the hormones of menstrual cycles and everything. With all the adhesions in that area, surgery was the only option to control the pain. This may repeat itself many times, or this may be the last time it is needed.
There are good things though, like its outpatient surgery, there will be no more acute pain, it may end the ovarian issues, and it is months before the wedding so there is time to heal and feel better.
I didn't want any more surgery after the 5 smashed into 8 months in 2009-2010. Guess it is not in the plan.