What You Should Know About Endometriosis After A Hysterectomy

Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, leading to pain, inflammation, and in some cases, fertility issues. For some, the symptoms are manageable, but for others, endometriosis can be profoundly disruptive. A hysterectomy—the surgical removal of the uterus—is sometimes considered a last resort when other treatments have failed. But it's important to understand that a hysterectomy is not a cure-all.

This article explores what to expect from a hysterectomy for endometriosis, including the types of procedures, ongoing symptoms, and alternatives that could support your well-being, whether or not you choose surgery.

What Is Hysterectomy for Endometriosis?

A hysterectomy for endometriosis aims to remove the source of menstrual bleeding and reduce hormone levels that may be fueling endometrial growth. In some cases, especially if pain remains severe or widespread, the surgery may include removal of the ovaries and fallopian tubes to further lower estrogen levels in the body.

What Types Of Hysterectomies Are There For Endometriosis?

There are several types of hysterectomy procedures, and the choice often depends on the severity of the disease and your treatment goals:

• Total Hysterectomy: Removes the uterus and cervix.

• Subtotal (Partial) Hysterectomy: Removes only the uterus, leaving the cervix in place.

• Radical Hysterectomy: Removes the uterus, cervix, part of the vagina, and surrounding tissue. This is usually reserved for cases involving cancer.

The surgical approach can also vary—some procedures are done laparoscopically (minimally invasive), while others require abdominal or vaginal incisions.

Pros and Cons of Hysterectomy for Endometriosis

Pros:

• Pain Reduction: Many women report dramatic decreases in pelvic pain following surgery.

• Relief from Menstrual Bleeding: Especially beneficial for those with heavy or painful periods.

• Improved Mobility and Daily Function: For some, life post-surgery means reclaiming the ability to exercise, work, and sleep more comfortably.

Cons:

• Permanent Loss of Fertility: This can be a major emotional and practical consideration.

• Surgical Complications: Like any major surgery, there's a risk of infection, blood clots, or complications during recovery.

• Persistent Symptoms: Not all pain disappears after surgery.

• Early Menopause: If the ovaries are removed, symptoms like hot flashes and bone thinning may occur earlier than expected.

Does a Hysterectomy Cure Endometriosis?

The short answer: not always. A hysterectomy can eliminate symptoms originating from the uterus, but it doesn’t remove endometrial tissue that may have spread to other organs. That means symptoms like pelvic pain, gastrointestinal discomfort, or endometriosis ovulation pain can persist or recur—particularly if the ovaries remain in place and continue to produce estrogen.

It's also possible to experience bowel endometriosis after hysterectomy, especially if endometrial lesions were present on or around the intestines and weren't removed during surgery. These can continue to cause symptoms such as constipation, diarrhea, and abdominal cramping.

What Happens If Symptoms Persist?

It can be frustrating to undergo a hysterectomy only to find that pain or other symptoms continue. In such cases, it's important to follow up with your healthcare provider. Advanced imaging or further laparoscopic procedures might be necessary to identify and remove residual endometrial tissue.

Additionally, some patients turn to pain management approaches that don’t involve medications. Mind-body interventions, physical therapy, and hypnosis for pain relief have been explored as ways to manage lingering symptoms effectively and naturally.

Alternatives to Hysterectomy

Not ready for surgery—or unsure if it’s the right path for you? There are several less invasive approaches that might provide relief:

• Hormonal Therapies: Medications such as birth control pills, GnRH agonists, and progestins can reduce or eliminate ovulation and slow endometrial growth.

• Laparoscopy: This procedure allows surgeons to locate and remove endometrial growths without removing reproductive organs.

• Lifestyle Adjustments: Regular exercise, anti-inflammatory diets, and stress-reduction techniques can complement other treatments.

• Non-Pharmacological Pain Management: Hypnosis, acupuncture, or pelvic floor therapy can be valuable, especially when integrated into a holistic treatment plan.

Frequently Asked Questions

• Will a Hysterectomy Help Endometriosis?

  It can help reduce or eliminate some symptoms, particularly if the ovaries are also removed. However, symptoms may continue if endometrial tissue remains elsewhere in the body.

• What Is The Success Rate Of a Hysterectomy For Endometriosis?

  Most studies suggest high rates of symptom relief, but not everyone experiences complete resolution. Success often depends on the thoroughness of the surgery and whether or not the ovaries are removed.

• Does a Hysterectomy Get Rid Of The Endo Belly?

  Bloating and swelling, often called “endo belly,” can be caused by inflammation or gastrointestinal involvement. A hysterectomy may help in some cases, but if bowel endometriosis is present, additional treatment may be necessary.

• Why Do I Still Have Endometriosis Pain After Hysterectomy?

  Persistent pain may be due to residual endometrial tissue or other overlapping conditions such as irritable bowel syndrome (IBS), pelvic floor dysfunction, or nerve pain.

• Can Endometriosis Come Back Years After a Hysterectomy?

  Yes, recurrence is possible, particularly if the ovaries are preserved. The hormonal cycle can continue to stimulate existing endometrial lesions.

Endometriosis doesn’t always end with a hysterectomy. Understanding your options—and setting realistic expectations—can help you make decisions with confidence. If you're navigating ongoing pain, the Reveri app offers a science-backed, medication-free approach to relief. Thousands have used it to regain control, reduce discomfort, and improve quality of life through guided self-hypnosis. Give it a try, and see how you feel.