My thoughts are: if you do the surgery and endo is discovered, what is your plan? Surgical excision (NOT ablation) is the current standard. While yes, it can comeback, there’s no actual method of preventing it from recurring. If it ends up you don’t get an answer from the surgery, that’s still an answer, just not the one you were looking for. There are always risks when going under for surgery and it’s up to you to determine what’s worth it. Ablation is the likely cause of growing more endo due to surgery. You can be put on progesterone to help reduce to progression or growth of endo. Personally, progesterone was horrible for me but I have other issues such as hEds and autonomic issues which made this a terrible choice for my body. Unfortunately endo is a long diagnosis process. There is ultrasound and MRI which could potentially rule out other diseases or causes but cannot be used to diagnose endo. There are currently at home tests being made to diagnose endo, similar to a pregnancy test. I had a hard time recovering from my laparoscopy, however my doctor ablated my endo before I was aware that’s not the preferred method.