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Real members of MyEndometriosisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
November 27, 2025
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What are effective pain management options for pelvic spasms and abdominal pain after hysterectomy for endometriosis?

Even after a complete hysterectomy, endometriosis pain can persist, and there are several approaches that may help manage your pelvic spasms and abdominal pain.

Medication Options
- Over-the-counter Show Full Answer

What are effective pain management options for pelvic spasms and abdominal pain after hysterectomy for endometriosis?

Even after a complete hysterectomy, endometriosis pain can persist, and there are several approaches that may help manage your pelvic spasms and abdominal pain.

Medication Options:
- Over-the-counter NSAIDs like ibuprofen or naproxen for pain relief
- Acetaminophen (Tylenol) if you can't take NSAIDs
- Prescription pain medications if over-the-counter options aren't sufficient

Physical and Complementary Therapies:
- Physical therapy to strengthen pelvic floor muscles
- TENS (transcutaneous electrical nerve stimulation) units for electrical pain relief - a MyEndometriosisTeam member shared, "My TENS unit helps a lot — gave me back my life!"
- Acupuncture from practitioners experienced with endometriosis
- Heating pads or hot water bottles to relax muscles and increase blood flow

Lifestyle Approaches:
- Hot baths for relaxation
- Gentle massage
- Light exercise to increase endorphins
- Anti-inflammatory diet (some members find reducing dairy, gluten, processed foods, and red meat helpful)
- Herbal teas like linden flower or raspberry

Since you've had a hysterectomy but still experience pain, it's important to work with your healthcare provider to develop a personalized pain management plan. They can help determine if additional treatments or medications might benefit your specific situation.

November 27, 2025

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