Severe Endometriosis And Endometriosis After Hysterectomy

Severe Endometriosis And Endometriosis After Hysterectomy


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Severe endometriosis and after hysterectomy


        Endometriosis can be mild, moderate or severe. When the woman is dealing with distortion of pelvic anatomic is clear that she has a severe endometriosis. This distortions can cause infertility for example if the tubes are blocked.

Severe endometriosis treatment

       Severe endometriosis treatment is different from woman to woman because when the doctor is prescribes a certain treatment he is considering a lot of factors like a women's weight, age, symptoms, family history, disease evolution. Medical treatment is no good if an infertile woman wants to get pregnant because there is a small chance of this to happen. Surgery is sometimes a way of getting pregnant, it depends on the woman. But it is for sure that for severe endometriosis, pregnancy chances are still low even after surgery. That's why in severe endometriosis women resort to intrauterine insemination and sometimes even that can't help them so they have to resort to in vitro fertilization.

After hysterectomy

       Hysterectomy is the surgical removal of the uterus completely or partially. Often it is a surgery that can save lives of patients with cancer of the endometrium or cervix, but it has many indications in the surgical pathology of woman genital beyond neoplastic diseases.

Hysterectomy can be done in case of:

  • Uterine fibroids if the fibroids is causing complications
  • Severe uterine bleeding that can not be controlled by other treatments;
  • Endometriosis that has not responded to treatment;
  • Ovarian cancer;
  • Cancer of the endometrium or cervix;

       Although each woman underwent surgery to remove the uterus has its own after hysterectomy reaction, many changes occurring in the body during this period are common to all patients undergoing this surgery.

After hysterectomy:

       A hysterectomy is often associated with surgical resection of fallopian tubes and ovaries. When the woman was diagnosed with uterine cancer, ovaries must be removed because the secreted hormones stimulates tumor growth and development. They must be removed also in severe cases of endometriosis. Fallopian tubes are generally removed with ovaries because they are attached to them and they have no role since the uterus and ovaries were removed.

       If the uterus and ovaries were removed, in the postoperative period also called after hysterectomy will appear menopausal hot flashes and specific events, like those that accompany the physiological installation of menopause. Your doctor may recommend in this situation, an estrogen replacement therapy with other drugs to relieve symptoms. Hormone replacement therapy also contributes to lower the risk of osteoporosis, protects from heart disease and help maintain libido. However, there are women who can not benefit from HRT (hormone replacement therapy). For example, some patients with liver disease or those who have a history of hormone-dependent tumors such as breast cancer can not receive hormone therapy.

       Changes in this aspect of a woman with hysterectomy are varied and are usually a combination between mental reaction and physical reaction after surgery. Most times, lack of sex hormones as a result of removal of ovaries, is leading to a worsening of sexual life. These women accused discomfort during intercourse due to vaginal dryness, painful sex and low libido. In other cases, sex after hysterectomy is the same as before surgery, and some women are more relaxed because they don't have to take care of an unwanted pregnancy.

Emotional recovery:

       Many women register strong emotional reactions, ranging up to depression after hysterectomy. Removal of uterus and ovaries condemn a woman to physiological inability to conceive a baby. This is often a source of mental stress, generating various emotional disorders that persist for a while. Emotional reaction after hysterectomy is most often linked to the age. Older women, close to menopause, who already have children, support easier the changes that has occurred in their body. Instead, the young women who still have not founded the family, the psychological impact of hysterectomy is higher and the recovery is more difficult.

        In these cases, more attention should be given to alternatives to hysterectomy: myomectomy rather than hysterectomy for fibroide tumors, laparoscopic surgery for endometriosis, drug therapy as first intention treatment where appropriate. They have their risks and benefits, but sometimes can avoid hysterectomy and fertility is still preserved. Psychological supervision before and after hysterectomy may help to limit these emotional disorders. If your talk with the patient before surgery about the possible consequences of surgery, postoperative disorders are significantly reduced.