Estrogen Dominance and endometiosis

Thank you for sharing your history.
From a Western medical perspective, elevated estrogen—especially after a hysterectomy—can still occur if your ovaries were preserved, as they continue to produce hormones. High estrogen levels can stimulate any remaining endometrial tissue or ovarian remnants, which may be contributing to your recent symptoms and pain. It would be worth discussing with your doctor whether further hormonal testing (including progesterone and androgen levels), and pelvic imaging (like an ultrasound or MRI), could give more insight. Depending on the findings, options like hormone-balancing therapies or a referral to a gynecologic endocrinologist might be helpful.
From a Traditional Chinese Medicine (TCM) perspective, your symptoms suggest a combination of Liver Qi stagnation, Blood stasis, and possibly some internal damp-heat or Yin deficiency, especially given the surgical history and hormonal imbalance. These patterns are often associated with pelvic pain, hormone fluctuations, cyst formation, and inflammation.
In TCM, the treatment would focus on:

• Regulating Liver Qi and clearing heat
• Moving Blood and resolving stasis in the pelvic region
• Strengthening the Spleen to transform damp and phlegm
• Nourishing Kidney Yin if there are signs of deficiency

With acupuncture and herbal medicine, we aim to reduce inflammation, regulate hormone levels naturally, and alleviate pain. Many patients also find their mood, digestion, and sleep improve as we bring the body into better balance.