A hysterectomy does not necessarily cure endometriosis, a disease where tissue grows on the outside of the uterus. Endometriosis after a hysterectomy depends on how severe the disease was before surgery, how thoroughly the surgery removed the lesions and whether or not postoperative treatments were used. A recent study investigated endometriosis after a hysterectomy in patients who received either a partial or total hysterectomy.
A higher percentage of patients who had a partial hysterectomy and kept their ovaries reported the need for additional surgery later on. Patients who had a total hysterectomy, where the ovaries were removed, reported less need to have further surgery. However, removal of ovaries is accompanied by significant side effects due to the effect it may have on hormones, especially in women who are premenopausal.
For this reason, it is often recommended that some women to leave the ovaries in if they are normal at the time of surgery. There have been no reports of hormone replacement therapy having an effect on endometriosis recurrence. In addition, two recent studies have shown no advantage in delaying the onset of estrogen replacement therapy after surgical removal of ovaries.
About Nevada Surgery and Cancer Care:
NVSCC Las Vegas Cancer Center specializes in gynecological cancers and minimally-invasive robotic surgical treatments of endometriosis, fibroids, other complex gynecologic conditions as well as colon and rectal health. Our oncologists treat each individual patient’s needs with specialized care and compassion while educating patients throughout treatment to ensure understanding and peace-of-mind. Please visit the Nevada Cancer Center in Las Vegas website for more information regarding endometriosis after a hysterectomy or call us at 702-739-6467.