I have lower estrogen levels and have Endo. It's caused me pregnancy loss and pre-term birth. I have the definitive diagnosis of Endo after my laparoscopy and they removed the lesions of course and I felt much better for a long time. Good luck!

I read this article before I went in for my first lap. Turns out I do have endometriosis even though my estrogen levels are quite low (which I now believe is due to an unrelated fertility issue).

Thank you so much for the information and and the words of encouragement. I am seeing some reconstructive surgeon on the 10th and he doesn't have any answers then laparoscopy.

My NP did a ratio thing that shows I'm estrogen dominant. I think this is it:

"We report an “optimal” ratio of 100-500, however this is only valid when E2 is within a normal luteal phase range; i.e., when E2 is 1.3-3.3 pg/mL in saliva, and 43-180 pg/mL in blood spot. The ratio is calculated from the Pg value in pg/mL divided by the E2 value in pg/mL.
Saliva test example: a patient has E2 = 1.5 pg/mL and Pg = 300 pg/mL. The units are the same (pg/mL), so the ratio is 300 divided by 1.5:
Pgratio1
Blood spot or serum example: a patient has E2 = 100 pg/mL and Pg = 20 ng/mL. The Pg units are first converted to pg/mL before calculating the ratio: 1 ng/mL is equivalent to 1000 pg/mL. Therefore, the ratio is 20 ng/mL x (Phone number can only be seen by the question and answer creators) pg/mL Pg, divided by 100 pg/mL E2:
Pgratio2
Both of these examples represent normal endogenous luteal phase levels of E2 and Pg."

I hate that the only way to find out if you have endo is a lap. I feel similarly as you, but after 10 years of off an on issues I'm biting the bullet and getting it done. Everyone I talk to says the lap is worth it. Do you have other symptoms of endo? I have a lot of random/lesser known ones, but also painful periods and painful sex -and I just want that to stop affecting my marriage. I learned a lot from the site endo-resolved.com ..and some article in the huffington post about a lady's experience, both of these (plus symptoms and changes and a best friend that just went through all of this) have made me realize it's not going to hurt anything to have it done. Keep asking questions! Best wishes!