Endometriosis After Hysterectomy

Hysterectomy Is Not a Cure For Endometriosis

Endometriosis After Hysterectomy
Endometriosis Before Hysterectomy. Image © A.D.A.M.

Endometriosis is one of the most common reasons that women have a hysterectomy each year. What many women do not realize is that endometriosis is not cured by a hysterectomy and that the painful symptoms can reoccur and often do. For this reason, laparoscopic and non-surgical treatments are often considered before a hysterectomy.

In a study conducted by Johns Hopkins, women who had a hysterectomy that did not include removing the ovaries were far more likely to have endometriosis that caused pain in the years following surgery.

In that study, 62% of women who kept their ovaries had endometriosis pain and 31% needed a second surgery.

The results were far different for women who had their ovaries removed during the hysterectomy procedure. Ten percent of those women experienced pain from endometriosis after surgery and less than 4% needed a second surgery.

It may seem that having your ovaries removed with hysterectomy is the obvious answer, but having the ovaries removed comes with additional issues. If the ovaries are removed, menopause will begin in the days following surgery and hormone replacement therapy may be necessary. Additional risks are associated with having the ovaries removed, a procedure called an oophorectomy.

Sources

Diagnosis and Treatment of Endometriosis. American Family Physician. http://www.aafp.org/afp/991015ap/1753.html

Incidence of symptom reoccurence after hysterectomy for endometriosis. Fertility and Sterility Journal. November 1995. http://www.ncbi.nlm.nih.gov/pubmed/7589631

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