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Hysterectomy and
endometriosis

Hysterectomy for endometriosis

Hysterectomy, the removal of the uterus, is a surgical procedure that can be considered for patients suffering from severe endometriosis. It may be proposed when other treatments have not been effective in relieving pain, or when endometriosis severely affects quality of life.

At IFEM Endo, we offer a personalized approach and comprehensive management of this procedure, based on the specific needs of each patient.

Indications for hysterectomy in endometriosis

Hysterectomy may be recommended in the following situations:
  • Chronic pain not relieved by medication or conservative surgery
  • Extensive lesions that affect the uterus and cannot be treated effectively any other way
  • Associated disorderssuch as heavy bleeding, infertility or persistent pelvic pain

Associated disorders, such as heavy bleeding, infertility or persistent pelvic pain

Types of hysterectomy

There are several types of hysterectomy, which vary according to the extent of the operation:

  • Total hysterectomy: removal of the uterus and cervix
  • Subtotal hysterectomy : removal of the uterus, leaving the cervix intact
  • Hysterectomy with adnexectomy: removal of the uterus and ovaries, generally proposed in cases of severe ovarian lesions.

The choice of hysterectomy depends on the extent of the endometriosis and the patient's treatment goals.

Hysterectomy surgery: procedure and care

Hysterectomy can be performed abdominally, vaginally or laparoscopically, depending on the patient's condition and the location of the endometriosis. The procedure generally takes between 1 and 2 hours.

General anesthesia

The procedure is performed under general anesthesia to ensure patient comfort and safety.

Recovery time

Most patients can be discharged from hospital within 2 to 3 days of the procedure.

Convalescence

It is advisable to limit exercise for 4 to 6 weeks after the operation.

The aim is to provide symptom relief while preserving long-term quality of life.

Risks and side effects

As with any surgical procedure, hysterectomy carries certain risks, including:

  • Infections or complications related to wound healing
  • Hormonal changes: particularly if the ovaries are also removed
  • Urinary or intestinal disorders in rare cases
  • Post-hysterectomy syndrome: sometimes persistent pain or menopausal symptoms

These risks are low and can be managed with appropriate care, but it is essential to discuss them with your surgeon.

Post-operative follow-up and rehabilitation

After a hysterectomy, careful follow-up is essential to ensure recovery and prevent complications:

  • Regular medical follow-up : post-operative visits to monitor progress and the absence of complications
  • Hormonal management: if the ovaries are removed, hormone replacement therapy may be recommended to prevent menopausal symptoms.
  • Physical rehabilitation : pelvic physiotherapy to restore mobility and strengthen the pelvic floor

The choice of hysterectomy depends on the extent of the endometriosis and the patient's treatment goals.

Hysterectomy
in figures

16%

of women operated on for pelvic endometriosis have a hysterectomy at the same time

10-15

women/year undergo hysterectomy several years after surgery for colorectal endometriosis followed by one or more pregnancies

20%

of hysterectomies at the same time as surgery for colorectal endometriosis in the ENDORE randomized trial

Get help from an endometriosis specialist

If you suffer from severe endometriosis and hysterectomy has been considered as a treatment option, make an appointment with the IFEM Endo specialists for a complete and personalized assessment of your situation.

Last updated on May 5, 2025 @ 11:49