I couldn't quit thinking about this topic, due to the experience I had with Endo, and the awful pain it causes and seeing the posts here. Look into ARA 290 and VIP. In my research I used ARA for the pain I was getting in hands and feet, zingers (electric like shocks) from inflammation. A cycle of ARA helped with that. I did a little digging this morning.
Now this is according to AI agents I've used:

Why ARA‑290[archived internal link]
Endometriosis is now understood as a chronic inflammatory, neuroimmune, microvascular disease , not just a hormonal one.
ARA‑290’s known actions line up with that:
1) It activates the Innate Repair Receptor (EPOR/CD131) [archived internal link]
This receptor:
reduces inflammatory cytokines
stabilizes microvasculature
reduces ischemia‑reperfusion injury
promotes tissue repair without fibrosis
Endometriosis lesions are microvascularly unstable, hypoxic, and cytokine‑rich — exactly the environment ARA‑290 was designed to calm.
2) It reduces neuropathic pain signaling [archived internal link]
Endo pain is often:
nerve‑dense
sensitized
persistent even after surgery or hysterectomy
ARA‑290 has human data in:
small fiber neuropathy
chronic inflammatory neuropathic pain
microvascular neuropathies
This is a rare overlap.
3) It lowers inflammatory noise without suppressing immunity [archived internal link]
Unlike steroids or GnRH agonists, ARA‑290:
doesn’t shut down the immune system
doesn’t tank hormones
doesn’t cause bone loss
doesn’t cause menopausal symptoms
For someone who reacts strongly to immune shifts, this matters.
ALSO:
Other peptides with[archived internal link]
These are the ones whose mechanisms overlap with endometriosis biology without the harsh endocrine suppression of standard meds.
1) KPV (α‑MSH fragment) [archived internal link]
Potent anti‑inflammatory
Mast‑cell stabilizing
Calms cytokines (IL‑1, IL‑6, TNF‑α)
Very low side‑effect profile
Endometriosis lesions are mast‑cell rich — this is relevant.
2) BPC‑157 [archived internal link]
Tissue repair
Microvascular stabilization
Anti‑inflammatory
GI‑immune axis support
Not disease‑specific, but overlaps with the wound‑like, inflammatory nature of lesions.
3) Thymosin Alpha‑1 [archived internal link]
Immune modulation
T‑cell balancing
Reduces inflammatory overactivation
Useful when immune dysregulation is part of the picture.
4) VIP (Vasoactive Intestinal Peptide) [archived internal link]
Anti‑inflammatory
Neuroimmune calming
Smooth muscle relaxation
Mast‑cell modulation
VIP is one of the most interesting for pelvic pain + inflammation.

Why these peptides are different from standard endometriosis meds[archived internal link]
Most endometriosis medications work by shutting down estrogen .That helps some people, but:
It doesn’t fix inflammation
It doesn’t fix nerve sensitization
It doesn’t fix microvascular instability
It doesn’t help people who still flare after hysterectomy or oophorectomy
Peptides like ARA‑290, KPV, VIP, TA‑1 work on the immune‑inflammatory‑neural side of the disease — the part that persists even without reproductive organs.
May be worth a try for one or some of these.