Endometrioma, Endometriosis, Adenomyosis

In 2020, lap done for 10cm big Endometrioma in left ovary. Dec 2022 OVARIES: - Both ovaries are visualised and just bulky in size. Few tiny complex cystic foci in both ovaries with largest measuring 1.2 x 1.0 cm in left ovary, no septa / nodule / calcification. Bilateral paraovarian, intraovarian & along POD adhesion seen. Right ovary - 3.41 x 2.3 cm. & Left ovary - 2.9 x 2.6 cm. Doc gave dinofirst 2 mg May 2023 OVARIES: - Both ovaries are mildly bulky. Few ill-defined hypochoic focal areas in both ovaries with paraovarian adhesion. Adhesion along the POD & deep pelvic space. Left ovary in POD. Few follicles in either ovaries. Right ovary - 3.9 x 2.5 x 3.3 cm. vol = 17.3 cc. & Left ovary - 3.0 x 2.2 x 3.1 cm. vol = 10.9 cc. Doc again suggested the same medicine. Is it getting better or what should I do to decrease it? Will lifestyle change make it better? Reports attached. Please check both the reports.