BABE RN, no , never had a recurrence of the endo, nor any problems with adhesions, at least not yet and surgery was about 15 years ago. Did not even know I had endometriosis, just knew I hurt awful, almost doubled over at times with the pain. MD said it was "disentigrating fibroid" on the ultrasound which is why we did the surgery, found the endometriosis during the surgery which is why I'm glad I had an open procedure and not an LAVH.
The folks having the LAVH's get back to work quicker though and seem to do fine. (Lap assisted Vag hyster= LAVH) never really had a problem with mood swings , but then my family thinks I am a Bi***h anyway , though I have mellowed over the years!
The patch sounds like a really good option, maybe you could explore that route of HRT. It was not available when I started needing it and don't want to try something new when the old stuff is working fine.
I never could understand those women that said they didn't feel like a woman without a uterus, DUH, thats not the only defining factor ladies!!! I felt so much better without it, have never regretted the surgery.