Experiences with second herniation of same disc

Hi there - soon to be 28 year old male, L5-S1 reherniation approx. one year out from my first microdiscectomy now, interested in hearing from others with similar stories, particularly those who eventually found success.

For a brief rundown, I had an L5-S1 herniation for what I believe was about 2.5 years, causing sciatica symptoms on my left side. Eventually got an MRI in 2023 which confirmed it and had surgery (MD) in April 2024. Was doing really well for about 10-11 weeks at which point I started to feel symptoms again, but this time on the other side. Hoped maybe it would go away over time with some rest and physio but in December 2024 I had an MRI which confirmed it was herniated again, this time compressing the nerve root on the right side. It doesn’t appear too bad compared to other images I see on here but I’m thinking it might look different if I had it done again today

Whereas last time around, I was able to find relief in certain seated positions, or laying down, this time I can hardly find relief in any situation and there’s more of a throbbing/stabbing pain in addition to the usual numbness/tingling. It’s greatly impacting my sleep and day to day life at this point, and I’m starting to consider going for a second microdiscectomy. That being said, I’m interested to hear if others have had success a second time around with other treatments (ESI, shockwave therapy, etc.)?

For additional context, I’m getting married in August and want to be able to stand at the alter, and we’re hoping to start having kids fairly soon after. I also am fairly active and of course love sports involving twisting and bending (golf, tennis, squash) and am afraid I might have to give them up for good after a second surgery.

Cheers!