Understanding Endometriosis Recurrence Post-Hysterectomy

Endometriosis, a chronic condition where tissue similar to the lining inside the uterus grows outside of it, can cause significant pain and discomfort for those affected. Endometriosis Recurrence Post-Hysterectomy, the surgical removal of the uterus, is often considered a last-resort treatment for severe endometriosis symptoms. However, for some women, the relief provided by hysterectomy may be temporary, as endometriosis can recur even after this procedure. Dr. Shraddha Galgali is one of the best gynecologists in Punawale, Pune and she explains why this recurrence happens and how managing it is crucial for those living with endometriosis.

Endometriosis is a disease in which the tissue on the lining of the uterus grows outside the uterus. It causes pain in the pelvis and other complications. It can start in menarche and can last until menopause.

The growth of the tissue outside of the uterus causes inflammation and scar tissue formation in the pelvis and elsewhere. Endometriosis creates symptoms like the following:

• Severe pain in the pelvis
• Menstrual discomfort
• Difficulty in using the bathroom
• Trouble getting pregnant
• Fatigue
• Depression and anxiety

Dr. Shraddha Galgali stated several factors can increase the likelihood of endometriosis recurrence after a hysterectomy:

• Incomplete removal of endometrial tissue during the initial surgery
• Retention of ovaries, which continue hormone production
• Advanced stage of endometriosis at the time of hysterectomy
• Genetic predisposition to endometriosis

One treatment for endometriosis is a hysterectomy. A hysterectomy is a procedure in which the uterus is surgically removed. When utilized for treating endometriosis, this surgery eliminates the endometrial tissue and the uterus with or without the ovaries.

Most patients with endometriosis do not require a hysterectomy. According to research in India, only 12% of women who suffer from endometriosis get a hysterectomy.

Like any medical treatment, endometriosis has its advantages and disadvantages.

Advantages:

• The relief of symptoms
• No menstrual periods or associated pain
• No worries about pregnancy

Disadvantages:

• If the ovaries are removed, early menopause, which can cause:
• Vaginal dryness
• Lowered libido
• Pain during sex
• Organ prolapses, a situation in which one or more organs slip from their place
• An inability to get pregnant
• The possibility that endometriosis will recur

There is no consensus on what causes endometriosis recurrence post a hysterectomy.

• Incomplete Excision of Endometriosis: Incomplete removal of endometriotic tissue is the most predominant reason for recurrence found in the literature.
• Conservation of Ovaries During Hysterectomy: Performing a hysterectomy without removing the ovaries is another cause of recurrence. A high recurrence rate is reported in cases where the ovaries are conserved during hysterectomy.
• Patient Consideration: There is a possibility of endometriosis recurring even after a hysterectomy. The patient must carefully consider this possibility before deciding to undergo hysterectomy. Factors to consider include the patient’s age and the impact of early menopause on her lifestyle.
• Surgical Precision: The surgery must be flawless for effective management. Recurrence of endometriosis symptoms and pelvic pain are directly correlated to the precision of the surgery. Surgical efforts should aim to completely eradicate endometriotic lesions to minimize the risk of recurrence.

If you have endometriosis there are other therapies other than a hysterectomy. Please think carefully before selecting to undergo one.

If you do, we at Dr. Shraddha’s EXCELLA Woman’s Wellness Clinic will perform a highly precise, safe, and effective hysterectomy. We will ensure that your endometriosis doesn’t repeat.

If you are considering a hysterectomy for endometriosis or are experiencing symptoms after the procedure, it is essential to discuss all options and concerns with your Dr. Shraddha Galgali is the best Infertility Treatment in Punawale, Pune to determine the best course of action for your individual needs.

Feel Free to Book an appointment with the Best Female Gynecologist in Wakad. please call 9923956515!