Endometriosis after Hysterectomy – Does it Return?
Posted: Saturday, April 21, 2007
by Shelley Ross
http://www.treatendometriosis.com
For those women with severe endometriosis symptoms, an option that is sometimes considered is having a hysterectomy. This article looks at impact on endometriosis after hysteroctomy operations have been performed.
Around 80 million of the world’s female population suffer from endometriosis. They all share similar symptoms that can range from mild discomfort to debilitating pain. The pain can be so severe in some women that they opt for what others would consider drastic action.
During menstruation, when the endometrium (uterus lining) is shed, bleeding occurs. This is a natural process and the body expels the unwanted tissue and blood from the uterus.
In Endometriosis sufferers, this same reaction also occurs outside the uterus wherever the endometrial tissue is found, however there is no where for the material and blood to be expelled. This causes inflammation and scarring that can turn into adhesions.
With Endometriosis, woman will feel varying degrees of pain and discomfort usually dependent on the severity of the condition. Having a bowel movement or engaging in sexual intercourse can become more painful because of this disease. When the condition worsens it can also result in infertility.
There are some treatment options for endometriosis sufferers, and they have varying degrees of success. For some women the constant pain and impact of the condition on their lives becomes too much, so they seek a hysterectomy.
Sometimes doctors may recommend, or the patient may request either a full or partial hysterectomy. A full hysterectomy removes the ovaries and uterus, whereas a partial hysterectomy removes one or the other.
One would think that with removing the ovaries, the main producers of the female hormone estrogen, that endometriosis would no longer be an issue.
However, this isn’t always the case. Female hormones that trigger the symptoms of endometriosis are still produced by a woman’s body even after menopause, although at a much lower level.
If the hysterectomy is carried out prior to the menopause then premature menopause will begin, and unfortunately, if you try and regulate the symptoms of menopause with hormones you run the risk of endometriosis flaring up again.
Having a hysterectomy as a solution to endometriosis used to be a common answer from the medical community. However, as more is known about this condition and how to treat it, it is not something that should be rushed into when other alternatives may allow you to manage the symptoms effectively.
Depending on the age of the patient bringing on early menopause may not be the great choice. Especially for young women, whom will then have the health issues associated with menopause to deal with instead, and the prospect of never being able to have children later on.
Dealing with endometriosis can often mean more than going after an immediate solution like hysterectomy. Keeping your health at optimum levels can help you better manage endometriosis. With a healthy immune system in place, your body can better target the rogue endometrial tissue and remove it.
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If you are serious about a hysterectomy speak to you doctor about the best option for you but don’t forget to ask about the chances of endometriosis after hysterectomy reoccurring.
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Top-level comments on this article: (1 total)Hi! I have some questions about endometriosis. I have/had stage 3 endometriosis. After 2 miscarriages I had a son. Who is now 5. About 8 months after our first don was born. I found out I was pregnant again. This however ended up being ectopic tubal pregnancy. So I had surgery to have it removed. During the process the Dr had to cut into my ovary to get the "baby" out. A couple months later I have a right sided oopherectomy and had adhesions removed. I then found out we were pregnant again. He was born in 2008. In October of the same year I had partial hysterectomy. I had a lot of heavy bleeding and large clots due to endometriosis. It has been three years now since my hysterectomy. I have absolutely no sex drive. Drs keep telling me endometriosis doesn't come back after hystorectomy. As living proof it does. It is horrible pain. I am 29 years old and I feel much older. I just spent another 5 days in the hospital for unk pain. Dr's are starting to treat me as if I have a drug problem and not a medical problem. Does anyone have any advice or suggestions? I refuse to continue on like this. Finding a surgeon will be extremely
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