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Doctor insights on: Recurrent Endometriosis After Hysterectomy

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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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Dr. Michael Traub
1,217 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 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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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

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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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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

Dr. Jeff Livingston
1,862 doctors shared insights

Hysterectomy (Definition)

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