Connect with others who understand.

  •   Learn from expert-reviewed resources
  •   Real advice from people who’ve been there
  •   People who understand what you’re going through
Sign Up Log In
Powered By
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
 · 
Reactions
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."

Your 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

Get as many second opinions as possible. There are colorectal surgeons out there that can do resections and just remove the diseased areas.

September 20
A MyEndometriosisTeam Member

I had a second surgery to fix umbilical hernia and remove appendix. They removed multiple endo lesions all over the place and now they've seen lesions on the bowel. I was told its not operable because it is touching the rectum. I was told this would be a guaranteed colostomy bag because of the location. Ovary removal is still recommended. Any thoughts?

September 20
A MyEndometriosisTeam Member

Endometriosis is a systemic chronic full-body inflammatory disease that's incurable. Do NOT remove your ovaries!

Endometriosis creates its own estrogen, blood supply, metastasizes through lymph nodes, isfoumd in every organ. It uses the same 8 genetic mutations as cancer.

Magee's I Pittsburgh has vetted endometriosis excision specialists. Please go!

September 20
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.

September 14

Related Questions

View All
A MyEndometriosisTeam Member asked a question 💭
Reno, NV

A MyEndometriosisTeam Member asked a question 💭
Federal Way, WA

A MyEndometriosisTeam Member asked a question 💭
Montreal, QC