Doctor insights on:
Can You Still Have Endometriosis After A Hysterectomy
Causes of endometriosis after a complete hysterectomy and two laporotomys in a year and still returned, pains worse after surgerys that was 10yrs ago?
Good question!: It is difficult to explain the return of your endometriosis after hyterectomy. The causes of endometriosis are not very well understood. It is possible some of your peritoneal cells may converted to endometrial cells. Or some of your residual endometriosis reactivated after a period of time. ...Read more
How can I still have pain even after years of surgeries and a full hysterectomy. Can there be endometriosis in the layers of muscle? Why am I bleedi
I am in the process of preparing for a total hysterectomy due to endometriosis. I have already had 2 laproscopic abdominal surgeries and have multiple adhesions in my abdomen. Can my hysterectomy still be laproscopic or would open be best? Appt on 1/17.
Depends: It would be best to have it done laparoscopically, however that depends in the amount of scar tissue present. You need to find the best minimally invasive gyn surgeon in your area and bring them the operative reports of your two surgeries. See what they recommend. ...Read more
Got Bicornuate Uterus & am told renal issues are typical. Having hysterectomy for Endometriosis. Should I still find out if I have any kidney defect?
Renal eval's in orde: A renal evaluation is in orderGet a more detailed answer ›
Same as before: Common symtoms of endometriosis vary from person to person but include pain with sex, pain with bowel movements, pain with voiding, and pain with ovulation. There would be other symptoms that would occur with the period - but not of course after the hysterectomy. If the ovaries are removed with the hysterectomy (or later if needed), you have a much better chance of resolving the pain. ...Read more
Yes, but less common: A hysterectomy is a surgery involving the removal of the uterus, not necessarily the ovaries. The ovaries produce the hormones that can drive growth/stimulation of endometriosis. So, if ovaries are left in place, endometriosis may be more likely to grow after a hysterectomy. ...Read more
Complicated: A very complicated question you should talk over with a gynecologist expert in the management of endometriosis. Assuming you are the patient we are talking about (49 years old), you have very little to lose in having a hysterectomy and potentially a lot to gain. It is very dependent, however, on specifics of each case. ...Read more
If your endometriosi: Is bad enough then u may need after other measures like meds and less invasive surgery has been tried, hopefully if u have to have the hyesterec then your endometriosis will be gone or markedly lessened so u can enjoy life, bad endomtriosis is not compatible with enjoying life. ...Read more
It can: In many cases yes. If the primary issue is centrally located pain with the menstrual cycle, a hysterectomy is likely to be very helpful. There are also surgical treatments short of a hysterectomy, including resection of endometriosis and pre sacral neurectomy. You need to see a good pelvic pain doctor to help you work out the best option for you. ...Read more
Not sure what the: Question is? We can better answer your question if it is more specific. Please clarify and re-ask. ...Read more
After I had a hysterectomy, I was told that I had adenomyosis. Is that different from endometriosis?
What are the chances of having a hysterectomy with endometriosis? One has formed into a tumor about 5.6cm.
You don't need a hysterectomy for endometriosis of the ovary (endometrioma).
This can be:
1. Followed closely with serial ultrasounds if asyptomatic
2. Trial of ocps if marginally symptomatic
3. If having pain, then removal of the encometrioma alone (cystectomy) can be done and use Lupron (leuprolide) post-operatively
4. For fertility, debate if removal is indicated, but if 4-5cm- then would remove. ...Read more
I'm 27 and I'm having a hysterectomy soon due to endometriosis. Will that put into menopause will being in menopause affect my mental health.
Ovaries too: Only if they remove your ovaries too. If they are, talk to your doctor about hormone replacement therapy, it can significantly mitigate the side effects you may experience. ...Read more
Does a hysterectomy cure endometriosis? I have a lot of pain due to my endometriosis. If I have a hysterectomy, will the endometriosis be gone for good? .
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. ...Read more
What can I do to improve my health if I've already had / experienced endometriosis, pmt, prostap, livial & hysterectomy?
Exercise eat healthy: Kagels take vitamins.Get a more detailed answer ›
In reference to a laparoscopic hysterectomy for endometriosis issues, would it be better to keep one ovary, if possible?
Depends on age: Leaving one ovary means you will likely still have pain in 6-12 months post op, though you won't have periods and doing the hyst and one side debulks the endometriosis. Over age 40 I suggest both sides come out. Over 35 I tend to make all of mine aware of the recurrence of pain. Under 35 there is some benefit to keeping an ovary for prevention though 50% fail in 2 years and you get menopause. ...Read more
If endometriosis nearly infiltrating colon recurs after hysterectomy & does inflitrate, how do you know? Any kind of routine follow up typical?
I am waiting to see a specialist in regards to endometriosis. I had a partial hysterectomy 14 years ago, I cant take this pain. What more can I do?
Endometriosis pain: With pain from endometriosis, removing the ovaries or shutting them down temporarily with leuprolide injections are the two most common options. A condition called interstitial cystitis is also associated with endometriosis and you should be evaluated for that as well. Often that is an associated cause for the pain ...Read more
Some: It will eliminate your periods, but it won't eliminate endometriosis. If you're trying to maintain your ovaries, you might be better off with endometrial ablation and laparoscopy to cauterize the endometriosis followed by use of lupron (leuprolide). If that doesn't carry you over to the age of menopause then a total hysterectomy would be advised. The procedure I mentioned would be outpatient too ...Read more
Seeing my gyn on 1/17 for endometriosis follow up and to schedule total hysterectomy. What questions should I ask my gyn and in what ways can I start preparing?
Planning helps: Write down all the questions you can think of. This one's obvious to me: will you have your tubes and ovaries removed? If so, what kind of hormone replacement will you have? I understand that there is a lower incidence of ovarian cancer if the fallopian tubes are removed; ask your doctor about this, especially if there is a family history of ovarian cancer. How much time should you plan to be off? ...Read more
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