Yes, it is absolutely possible to still have endometriosis after a partial hysterectomy. A hysterectomy is not considered a cure for endometriosis, and pain can return — sometimes within months of surgery.
Since the ovaries were kept, they continue producing estrogen, which can fuel endometriosis growth. Studies show that Show Full Answer
Yes, it is absolutely possible to still have endometriosis after a partial hysterectomy. A hysterectomy is not considered a cure for endometriosis, and pain can return — sometimes within months of surgery.
Since the ovaries were kept, they continue producing estrogen, which can fuel endometriosis growth. Studies show that around 20–22% of people who keep their ovaries still experience a return of severe pain after a hysterectomy. The rectal involvement is particularly important here. When endometriosis affects the rectal area, it's known as deep infiltrating endometriosis (DIE). This type can invade the bowel wall, causing ongoing pain and inflammation even after a hysterectomy.
Endometriosis near the rectal area can also affect nearby structures, including the bladder, which may explain those bladder infection-like symptoms. It would be really worth discussing the following with a specialist:
- Imaging tests to check where endometriosis may currently be located
- Excision surgery as a potential option to remove remaining lesions
- Bladder symptoms — endometriosis can affect the bladder directly, so ruling that out is important
- Hormone or medication management to help control symptoms
A MyEndometriosisTeam member shared a similar experience, noting pain returned after keeping their ovaries, but said overall they were about 75% better after surgery — so outcomes really do vary from person to person.
Ongoing pain after a hysterectomy is unfortunately common with endometriosis, and it doesn't mean nothing can be done. Pushing for answers and specialist care is absolutely the right move. 💛
13 hours ago
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