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A 32-year-old female asked:

is a hysterectomy the only treatment for severe endometriosis .

2 doctor answers4 doctors weighed in
Dr. Karen Jones
Obstetrics and Gynecology 37 years experience
No: There are various medical and surgical treatments for endometriosis. Medical treatments include birth control pills, Depo Provera (medroxyprogesterone) and Depo-Provera lupron. Surgical treatments include laparoscopy to remove endometriosis and scar tissue. Hysterectomy may be done when other treatments have failed.
Dr. Lee Ann Roberts
Gynecology 41 years experience
Not the only one: In cases of severe endometriosis where medical and conservative surgical therapies are inadequate to control the pain and pregnancy is no longer desired, it may be the best option. Management can be very challenging for these types of patients who still want to get pregnant, a skilled, experienced, empathetic gynecologist would be able to review the options with you.

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Similar questions

A 44-year-old member asked:

Can I get pregnant after a hysterectomy?

2 doctor answers3 doctors weighed in
Dr. Craig Keathley
Obstetrics and Gynecology 24 years experience
Unlikely: Theoretically possible if the ovaries are still in place, ovulation is occurirng, and a passage is present that allows sperm to meet with the egg. The result would be an abdominal pregnancy or possibly a cervical pregnancy if the cervix still remains. This would be exceedingly unlikely and contraception is not recommended after a hysterectomy.
A 22-year-old member asked:

Are you seeing more endometriosis in younger women today?

2 doctor answers4 doctors weighed in
Dr. Brian Fishman
Dr. Brian Fishmananswered
Emergency Medicine 9 years experience
Mostly women over 30: Endometriosis is usually found in women over 30. It is defined as endometrial glands outside of the uterus (ovaries are the most common site) and is thought to be caused by prolonged retrograde menstruation. It is the most common cause of female infertility and risk factors include nulliparity (no history of childbirth), family history, and low bmi.
A 26-year-old member asked:

I was told that the changes in the peritoneal fluid due to endometriosis is one of the causes of my infertility. What does this mean?

2 doctor answers7 doctors weighed in
Dr. Alfredo Nieves
Gynecology 40 years experience
Endo: There are certain substances in our bodies that are responssible for fighting inflammation. This substances may affect the quality of the egg and may alao affect the ability of the fertilized egg to implant in the uterine cavity.
A 21-year-old member asked:

What are the other common areas outside of the pelvis where we find endometriosis?

2 doctor answers5 doctors weighed in
Dr. Alfredo Nieves
Gynecology 40 years experience
Endo: Endometriosis could affect the colon, the appendix, the liver, very rarely, lungs and brain.
A 21-year-old member asked:

Are there any women who are more prone to have endometriosis?

2 doctor answers6 doctors weighed in
Dr. Michael Traub
Fertility Medicine 19 years experience
Family History: Although endometriosis is not a genetic disorder, it does run in families (sister, mother, etc). Women who have chronic pain, painful periods, and painful sex are more likely to have endometriosis. Women who have a uterine anomaly are more prone to it as well.

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Last updated Oct 4, 2016
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