NSFW Negative laparoscopy for suspected endometriosis, but no biopsies taken. Is a second opinion worth it?

By <name>/u/InformalTick</name><uri>https://old.reddit.com/user/InformalTick</uri>

Age/Sex: 31 F Height/Weight: 5’7, 144 lbs Race: Caucasian Location: USA Medications: dicyclomine, allergy medication (OTC) Allergies: Penicillin, bactrim Smoking/drinking/recreational drugs: na Existing diagnoses: IBS-C, chronic pelvic pain/dysmenorrhea/dyspareunia; possible adenomyosis/endometriosis being considered Duration of complaint: Pelvic/period pain since around age 15, progressively worsening over years I’m looking for guidance on whether pursuing a second opinion is medically reasonable after a negative laparoscopy. I have had progressively worsening gynecologic symptoms for years, including severe period cramps, heavy bleeding with clots, cyclic pelvic pressure/pain, right-sided ovulation pain, pain with sex in certain positions, cramping for days after sex, constipation that worsens around ovulation/period, pain with bowel movements, bloating, and occasional urinary slowing during flares / burninf urination with no presence of UTI/STD. I also have IBS-C and had a prior colonoscopy spring 2025 without major findings. Because of suspected endometriosis, I recently had a robotic-assisted diagnostic laparoscopy with possible excision/fulguration. I was told no endometriosis was found, but no biopsies or tissue samples were taken because my surgeon did not see visible lesions. So I do not have a pathology report confirming or ruling out endometriosis. I do have the photos, I am willing to share in private. I'm not comfortable posting them directly on reddit. At my follow-up, the options discussed were mainly hormonal medications/IUD versus hysterectomy. I have already struggled with hormonal birth control side effects, including daily cramping, nausea, breakthrough bleeding, and missed work. I also do not want children, so hysterectomy has been discussed, but I’m worried about making a major decision without understanding whether endometriosis, adenomyosis, pelvic floor dysfunction, or something else is driving my symptoms. My doctor told me I need to figure

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