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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.
A MyEndometriosisTeam Member asked a question 💭
Hunlock Creek, PA

Having trouble deciding to have a 2nd endo removal surgery. First surgery was 3 small spots on peritoneum. Then 6 months later I have hysterectomy. I had 9 fibroids and multiple cervical cysts. I had 3 blissful pain free year. I was severely sick for a month with debilitating bloat, feeling like I ate glass, nausea, fatigue and ovarian area pain. The symptoms are still there but mild. Does this warrant a 2nd surgery? Is that how endo works? You get breaks in between severely flares? I had… read more

February 3
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MyEndometriosisTeam

When is a second surgery warranted for endometriosis after hysterectomy?

Unfortunately, endometriosis can return even after hysterectomy. A MyEndometriosisTeam member shared they were "four years post-radical hysterectomy" and "just had endometriosis excision surgery with a specialist, and it was found in three areas."

Show Full Answer

When is a second surgery warranted for endometriosis after hysterectomy?

Unfortunately, endometriosis can return even after hysterectomy. A MyEndometriosisTeam member shared they were "four years post-radical hysterectomy" and "just had endometriosis excision surgery with a specialist, and it was found in three areas."

Your experience of three pain-free years followed by severe symptoms does align with how endometriosis can behave - it's not uncommon to have periods of relief followed by flare-ups.

Before considering another surgery, it's important to:

- Explore all non-surgical treatment options first (medication, hormone therapy)
- Have imaging tests to help determine if surgery is appropriate
- Understand that surgery should be a last resort after other options are exhausted
- Know that there's no guarantee surgery will eliminate symptoms permanently

A study found that 21.6% of people experienced severe pain returning 37 months or more after hysterectomy. Some members report needing excision surgery every 2-3 years to manage symptoms.

Given your severe symptoms (debilitating bloat, nausea, fatigue, ovarian pain), it's worth having a detailed conversation with your healthcare provider about whether imaging shows endometriosis has returned and what all your treatment options are - surgical and non-surgical.

February 3
A MyEndometriosisTeam Member

Surgery was warranted because the found it on bowel, ovaries, appendix, etc.

Bowel endometriosis is near rectum and isn't removalable without needing a colostomy bag, so now they want to remove ovaries. Surgical menopause seems my only option now since I cant afford the hormone suppression meds.

4 days ago
A MyEndometriosisTeam Member

Endometriosis is not a menstrual disease therefore a hysterectomy is no cure. Endometriosis is a systemic chronic full-body inflammatory disease that's incurable. We absolutely muat have excision with a vetted endometriosis excision specialist. No ablation!

4 days ago

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