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Doctor insights on: Endometriosis After Hysterectomy Signs Symptoms

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What are signs of endometriosis after a hysterectomy?

What are signs of endometriosis after a hysterectomy?

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

Dr. Michael Traub
1,247 Doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


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Can endometriosis grow after a hysterectomy?

Can endometriosis grow after a hysterectomy?

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

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Can you have endometriosis after a hysterectomy?

Can you have endometriosis after a hysterectomy?

Yes: Most likely there was endometriosis present at the time of hysterectomy that was not removed. In the presence of hormonal stimulation endometriosis could become symptomatic. ...Read more

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I have endometriosis, must I have a hysterectomy?

I have endometriosis, must I have a hysterectomy?

No: Many women with endometriosis do have a hysterectomy at some point but that is a very individual decision. Most women do not need that. But surgical intervention can be needed for pain, for cysts, and for scar tissue at some point. ...Read more

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Which is worse: dealing with endometriosis or hysterectomy?

Which is worse: dealing with endometriosis or hysterectomy?

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

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What's worse dealing with endometriosis or hysterectomy my entire life?

What's worse dealing with endometriosis or hysterectomy my entire life?

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

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I am trying to find a dr in portland or that specializes in endometriosis. Unique situation. I have already had a hysterectomy, so not having kids.

Doctor in Portland: Hi

my friend, who is an excellent GI doctor, kandice knigge is in portland. I bet her staff would be able to direct you to a good gynecologist. She is also here on health tap. ...Read more

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My doctor wants to do a hysterectomy. She believes I have endometriosis. Is this my only option?

My doctor wants to do a hysterectomy. She believes I have endometriosis. Is this my only option?

No: Hysterectomy is not the only option for endometriosis. At times hormonal therapy may be helpful. Considering medications like provera, (medroxyprogesterone) lupron, and Danazol maybe alternatives. ...Read more

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Can endometriosis return after total hysterectomy?

Can endometriosis return after total hysterectomy?

Unlikely: A complete hysterectomy, with removal of both ovaries, usually is curative for endometriosis. I have seen cases afterwards, but it is extremely rare. ...Read more

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For endometriosis: will a partial hysterectomy help?

For endometriosis: will a partial hysterectomy help?

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

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What to do if I'm 44 years old and had a total hysterectomy 4 years ago (had endometriosis sp?

Not sure what the: Question is? We can better answer your question if it is more specific. Please clarify and re-ask. ...Read more

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After I had a hysterectomy, I was told that I had adenomyosis. Is that different from endometriosis?

Yes it is different: Adenomyosis is when there are glands from the lining of the uterus up inside the wall of the uterus. Endometriosis is when these cells and glands from the lining of the uterus are growing outside the uterus. Adenomyosis is a common cause of heavy periods. ...Read more

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What are the chances of having a hysterectomy with endometriosis? One has formed into a tumor about 5.6cm.

ZERO!: 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

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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

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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? .

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? .

Possible: The definitive treatment for endometriosis is hysterectomy with removal of the ovaries and tubes as well as the appendix in most cases. The success rate for that treatment is about 95%. ...Read more

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Is a hysterectomy the only treatment for severe endometriosis.

Is a hysterectomy the only treatment for severe endometriosis.

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

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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

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If endometriosis nearly infiltrating colon recurs after hysterectomy & does inflitrate, how do you know? Any kind of routine follow up typical?

Bloody stools: You'll likely see bloody stools or have cyclic pain like you did similar to when you had endometriosis before. Endometriosis is difficult to see with any imaging study, so there isn't a routine surveillance. ...Read more

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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?

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

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Causes of endometriosis after a complete hysterectomy and two laporotomys in a year and still returned, pains worse after surgerys that was 10yrs ago?

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

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If I have pmdd and endometriosis, will a partial hysterectomy help?

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

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I had a hysterectomy on 12/13/16 due to endometriosis. I am now experiencing severe pain on my right side down into my thigh. Should I be worried?

Yes: Any severe pain deserves an explanation and especially after a surgery. While it is unlikely to be a blockage so soon, you could have a kidney stone or something entirely unrelated. Start by calling the doc who did the surgery, who may refer you to ER. ...Read more

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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

Pelvic pain: Usually, pelvic pain due to endometriosis is relieved by complete hysterectomy and removal of ovaries. Sometimes scar tissue, unexcised lesions or adhesions cause persistent pain. More likely, there are other causes. Get a thorough work up through a gyn specialist. ...Read more

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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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U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps. History of endometriosis. Is hysterectomy next?

Hysterectomy: Your gynecologist must discuss this with you as soon as possible. There are many ways to determine if things are OK or not and the gynecologist will help you.
Please let me know what develops. ...Read more

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I am 42y and I did hysterectomy and removed ovaries because of endometriosis. I am on decapeptyl for the last six months. Can I take livial now.

Yes: Now that you have had your ovaries removed, the decapeptyl isn't necessary (since you are now in a surgically-induced menopause), but the livial is definitely a reasonable option. It should not stimulate regrowth of endometriosis, but may help with some of the menopause symptoms you may be experiencing. It's a selective-estrogen receptor modulator not currently available in the usa. ...Read more

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Can any dr spot endometriosis in a person that's had a complete hysterectomy do to severe endo then 2 laporotomys due to endo cyst/massess returning?

Can any dr spot endometriosis in a person that's had a complete hysterectomy do to severe endo then 2 laporotomys due to endo cyst/massess returning?

No: You would have to have some sort of test, clonoscopy if inside colon problems, ct or other major radiologic exam or a laparoscopy for a direct look. The problem would be inside but highly unlikely if ovaries and uterus have been removed. ...Read more

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Am 39 yrs old, female, never had kids. Would a hysterectomy help with pain from endometriosis and interstitial cystitis?

Pelvic pain can: Be difficult to diagnose and treat. Hysterectomy might or might not help. Get an opinion from both gyn and urologist, preferably at a medical center. ...Read more

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38 yo female, just had 4th surgery for endometriosis. What helps keep this away? Had complete hysterectomy leaving only my cervix.

Varies: The definitive surgery for endometriosis includes removal of the uterus and the tubes and ovaries and often the appendix as well. That is successful about 95% of the time. Your surgery should give you a very good chance for being pain free. ...Read more

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Would esterven be safe to take? I had a complete hysterectomy dec 27-12 & they removed a lot of endometriosis, several cysts & adhesion's!

Should be: There are very few absolute contrindications to estrogen replacement therapy. Most studies show that women are healthier and that they live longer with estrogen than without. ...Read more

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Endometriosis and had hysterectomy, then had appendectomy, apdx. Was full of endo as well, then had a gland in neck that had endo, is it everywhere?

That is uncommon: To have it in a gland in the neck, appendix is not that uncommon for endo, you hopefully u are being treated by an expert in endometriosis like at the nearest univer. Med center, if I was your gyn that is where I would refer u for further workup and treatment good luck. ...Read more

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If someone with endometriosis has a total hysterectomy, are the chances of endometriosis not coming back better if they don't take HRT after surgery?

Yes, theorectically: If a "total hysterectomy" is performed, that is, removal of the uterus and both ovaries, the body's natural source of estrogen is greatly reduced. If then hrt is taken, that estrogen can theoretically stimulate growth of endometriois, but the progestin taken will counteract the estrogen's effects. Practically I would not worry about taking hrt if hot flashes are very bothersome. ...Read more

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My question is I had endometriosis and pelvic congestion syndrome with a full hysterectomy and the doctors were pushing me out that day do you normally stay overnight with a full hysterectomy I feel the doctors did not treat me right?

More & more: Hysterectomies are done as outpatients. An article. Study entitled "Feasibility and Safety of Outpatient Total Laparoscopic Hysterectomy" concluded "Same-day discharge is a feasible and safe option for carefully selected patients who undergo an uncomplicated TLH, even in the presence of leiomyomas, severe adhesions, or endometriosis." https://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC4354205/ >> ...Read more

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I had a full hysterectomy year ago June. Everytime I see a newborn baby on TV or real life I hurt where my ovaries used to be. What can cause this? And when I say hurts it can rank up there with the pain I had with my endometriosis (the reason I had to h

I had a full hysterectomy year ago June. Everytime I see a newborn baby on TV or real life I hurt where my ovaries used to be. What can cause this? And when I say hurts it can rank up there with the pain I had with my endometriosis (the reason I had to h

Phantom ovary: Sometimes when we have a part removed, usually a Limb, you may have symptoms. In the lower abdomen pain isrudimentary;thus you can't tell from whAt organ it is derived. Thus your pain maybe more emotional derived. Tak to your doc. Some more ...Read more

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Having both ovaries removed with complete hysterectomy, will I have a sex drive afterwards? Being removed due to endometriosis

Having both ovaries removed with complete hysterectomy, will I have a sex drive afterwards? Being removed due to endometriosis

Usually sex drive is: Fine. After a hysterectomy about a third of women feel less apprehensive about having sex due to the knowledge that they won't get pregnant. About a third of women may have feeling regarding sexualtiy impacted because of how they deal psychologically with having female organs removed. About a third of women don't have particular issues regarding sex drive one way or the other. ...Read more

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I am going to be having an abdominal total hysterectomy due to endometriosis. What can I expect as far as hospital stay and recovery?

I am going to be having an abdominal total hysterectomy due to endometriosis. What can I expect as far as hospital stay and recovery?

2-4 days in hospital: If possible consider a second opinion. If in fact a hysterectomy is needed at this time, look to a minimally invasive procedure such as laparoscopic or robotic. The visualization is better, the ability to remove endometriosis implants improved, and with smaller, less painful scars you can often be discharge on the same day or the next day after surgery. Recovery is typically 6 weeks vs 1-2 weeks. ...Read more

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I've recently had a hysterectomy & cannot take hormones because of all the endometriosis. What natural remedies can I take for severe hot flashes?

Hot flashes: This is actually my specialty! You may take natural micronized Progesterone preferably compounded into cream or pill form. Go to puritanpride. Com and order meno-ease. Take two twice a day. I t will not stimulate remnant endometriosis. ...Read more

Dr. Jeff Livingston
1,882 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more