Endometriosis After Hysterectomy Are Relapses Common?
June 9, 2009 by Helpful Menopause Tips
Filed under Hormones, Estrogen & Hysterectomy
Experiencing endometriosis after hysterectomy is a likely possibility, and is why treatments such as mirena may still be needed. This may come as a surprise to you, especially if you have been under the impression that a total hysterectomy (removal of the entire uterus, ovaries, and part or the entire cervix) can provide relief from the painful symptoms caused by endometriosis.
Although it does sound logical that the removal of the organs infected by endometriosis would put a stop to the disease, this, unfortunately, is not the reality for a number of women. In fact it is estimated that 10-15 percent of women with endometriosis, who undergo a hysterectomy, experience an endometriosis recurrence after 1 - 3 years following the procedure, and as many as 50 percent have a recurrence after 5 years.
How can the return of endometriosis after hysterectomy be possible? First and foremost, there is no cure for endometriosis. Secondly, it’s a known fact that implants (endometrial tissue) can be found outside of the uterus and ovaries, and can occur throughout the pelvic cavity and beyond (I.E. bowels, bladder and rectum). Therefore, if implants occur in areas outside the uterus, a total hysterectomy will not remove all of the disease.
That being said, there are surgeons that will attempt to remove any implants they find in other regions aside from the reproductive organs. However, there is still a high possibility that some of the disease will be left behind, as some implants are microscopic and can go undetected.
Another problem that can cause endometriosis after hysterectomy is hormone replacement therapy. If a woman undergoes a total hysterectomy, she has lost her ovaries, and is, therefore, in full blown menopause. Although menopause can be beneficial in relieving endometriosis symptoms, because it stops the production of estrogen (the hormone that feeds the disease), the female body requires a certain level of estrogen in order to function properly.
In other words, while endometriosis may no longer be a problem, unpleasant menopause symptoms due to lack of estrogen (I.E. hot flashes, headaches, vaginal dryness, bone loss, etc.) will be. Hence, women who have undergone a total hysterectomy, and do not take hormone replacement therapy, may find relief from their endometriosis but not their menopausal symptoms, or vice versa. These women often find themselves in a no win situation.
Are their ways to treat endometriosis after hysterectomy? Yes. The following are some treatment methods you may want to consider -
- Control your diet - Find out what foods you should avoid that can trigger endometriosis symptoms or make them worse.
- Medical therapies - There are different remedies such as oral contraceptives, and the drugs Progestin and Danazol, which help to prevent the growth of endometrial tissue. You may also consider taking over-the-counter medication such as NSAIDs (nonsteroidal anti-inflammatory drugs - I.E. aspirin, ibuprofen) to help alleviate painful symptoms.
- Alternative remedies - non-drug therapies that may be useful include acupuncture, acupressure, aromatherapy, hypnosis, messages, herbal remedies, etc.
Essentially, when it comes to treatment, the best course of action you can take is to talk to your doctor about your options to find out which ones are right for you.
Finally, if you have endometriosis or know someone who does, and are thinking about having a total or partial hysterectomy, it is imperative that you explore other treatment options first. The chance of a recurrence of endometriosis after hysterectomy is high enough that it shouldn’t be ignored. There is no reason to put your body through the stress of such extreme surgery, when there are other options available to you.
Thanks to Shelley Ross for contributing this article to our Menopause blog:
Although it does sound logical that the removal of the organs infected by endometriosis would put a stop to the disease, this, unfortunately, is not the reality for a number of women. In fact it is estimated that 10-15 percent of women with endometriosis, who undergo a hysterectomy, experience an endometriosis recurrence after 1 - 3 years following the procedure, and as many as 50 percent have a recurrence after 5 years.
How can the return of endometriosis after hysterectomy be possible? First and foremost, there is no cure for endometriosis. Secondly, it’s a known fact that implants (endometrial tissue) can be found outside of the uterus and ovaries, and can occur throughout the pelvic cavity and beyond (I.E. bowels, bladder and rectum). Therefore, if implants occur in areas outside the uterus, a total hysterectomy will not remove all of the disease.
That being said, there are surgeons that will attempt to remove any implants they find in other regions aside from the reproductive organs. However, there is still a high possibility that some of the disease will be left behind, as some implants are microscopic and can go undetected.
Another problem that can cause endometriosis after hysterectomy is hormone replacement therapy. If a woman undergoes a total hysterectomy, she has lost her ovaries, and is, therefore, in full blown menopause. Although menopause can be beneficial in relieving endometriosis symptoms, because it stops the production of estrogen (the hormone that feeds the disease), the female body requires a certain level of estrogen in order to function properly.
In other words, while endometriosis may no longer be a problem, unpleasant menopause symptoms due to lack of estrogen (I.E. hot flashes, headaches, vaginal dryness, bone loss, etc.) will be. Hence, women who have undergone a total hysterectomy, and do not take hormone replacement therapy, may find relief from their endometriosis but not their menopausal symptoms, or vice versa. These women often find themselves in a no win situation.
Are their ways to treat endometriosis after hysterectomy? Yes. The following are some treatment methods you may want to consider -
- Control your diet - Find out what foods you should avoid that can trigger endometriosis symptoms or make them worse.
- Medical therapies - There are different remedies such as oral contraceptives, and the drugs Progestin and Danazol, which help to prevent the growth of endometrial tissue. You may also consider taking over-the-counter medication such as NSAIDs (nonsteroidal anti-inflammatory drugs - I.E. aspirin, ibuprofen) to help alleviate painful symptoms.
- Alternative remedies - non-drug therapies that may be useful include acupuncture, acupressure, aromatherapy, hypnosis, messages, herbal remedies, etc.
Essentially, when it comes to treatment, the best course of action you can take is to talk to your doctor about your options to find out which ones are right for you.
Finally, if you have endometriosis or know someone who does, and are thinking about having a total or partial hysterectomy, it is imperative that you explore other treatment options first. The chance of a recurrence of endometriosis after hysterectomy is high enough that it shouldn’t be ignored. There is no reason to put your body through the stress of such extreme surgery, when there are other options available to you.
Thanks to Shelley Ross for contributing this article to our Menopause blog:
By Shelley Ross: Sign up for a free newsletter & find out about the signs of endometriosis. Discover the different stages of endometriosis.
Endometriosis Part 60 - What is Cesarean Hysterectomy ?
May 13, 2009 by Helpful Menopause Tips
Filed under Hormones, Estrogen & Hysterectomy
As we mentioned in previous articles during the last stage of the menstrual cycle normally a layer of endometriosis lining in the inside of the uterus is expelled, known as menstruation blood but instead some of the endometriosis tissues grow somewhere in the body causing endometriosis. Endometriosis also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. If it is the desire of the woman who want to sterilization or endometriosis in the cervix have become cancerous or enlarge uterine fibroids then cesarean hysterectomy may be performed. In this article, we will discuss what is cesarean hysterectomy
I. Definition
Cesarean hysterectomy is normally performed during delivery of a newborn. It is necessary if abnormality of heavy bleeding occurs caused by abnormal placental attachment.
II. How it works
Cesarean hysterectomy is a planned hysterectomy as desire of the woman during newborn delivery to have the sterilization done or Uterus (Sometime the cervix and the Fallopian tubes also removed) removed at the same time. This types of planning also resulted in shorter hospital stays, lower blood loss, and lower hospital costs. After anesthesia and 3 or 4 small vertical or horizontal incisions are in place for insertion of the lararoscope and laparoscopic instruments into abdominal wall. The uterus is seperated for from the ligament and other tissues, then the blood vessels of the uterus are clamped and cut sequentially and the uterus is removed from the pelvic cavity. Sometime the cervix and Fallopian tubes are also removed, if necessary.
III. Risks
a) Bleeding
Heavy bleeding is always a concern in cesarean hysterectomy during delivery of a newborn as well as surgical procedure for selective cervical cancer, because of recently pregnant uterus is larger and bleed more profusely.
b) Infection
Infection in the incision area may be caused by bacteria or medical instrument used during operation
c) Damage to adjacent organs
Even the risk is low, but it may be happened
d) Anesthesia risk
It is wise for woman who has some bad experience with certain types of anesthesia in previous surgery to talk to her doctor, so other anesthesia can be used.
I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com
http://lifeanddisabitityinsuranceunderwriter.blogspot.com/
Thanks to Kyle J. Norton for contributing this article to our Menopause blog:
I. Definition
Cesarean hysterectomy is normally performed during delivery of a newborn. It is necessary if abnormality of heavy bleeding occurs caused by abnormal placental attachment.
II. How it works
Cesarean hysterectomy is a planned hysterectomy as desire of the woman during newborn delivery to have the sterilization done or Uterus (Sometime the cervix and the Fallopian tubes also removed) removed at the same time. This types of planning also resulted in shorter hospital stays, lower blood loss, and lower hospital costs. After anesthesia and 3 or 4 small vertical or horizontal incisions are in place for insertion of the lararoscope and laparoscopic instruments into abdominal wall. The uterus is seperated for from the ligament and other tissues, then the blood vessels of the uterus are clamped and cut sequentially and the uterus is removed from the pelvic cavity. Sometime the cervix and Fallopian tubes are also removed, if necessary.
III. Risks
a) Bleeding
Heavy bleeding is always a concern in cesarean hysterectomy during delivery of a newborn as well as surgical procedure for selective cervical cancer, because of recently pregnant uterus is larger and bleed more profusely.
b) Infection
Infection in the incision area may be caused by bacteria or medical instrument used during operation
c) Damage to adjacent organs
Even the risk is low, but it may be happened
d) Anesthesia risk
It is wise for woman who has some bad experience with certain types of anesthesia in previous surgery to talk to her doctor, so other anesthesia can be used.
I hope this information will help. If you need more information or insurance advices, please follow my article series of the above subject at my home page at:
http://medicaladvisorjournals.blogspot.com
http://lifeanddisabitityinsuranceunderwriter.blogspot.com/
Thanks to Kyle J. Norton for contributing this article to our Menopause blog:
All rights reserved. Any reproducing of this article must have the author name and all the links intact.
“Let Take Care Your Health, Your Health Will Take Care You” Kyle J. Norton
I have been studying natural remedies for disease prevention for over 20 years and working as a financial consultant since 1990. Master degree in Mathematics, teaching and tutoring math at colleges and universities before joining insurance industries.
