Friday, October 2, 2009

Endometriosis Recur After a Total Hysterectomy (Partial Hysterectomy)

Partial Hysterectomy

In endometriosis, the endometrial cells grow over the fallopian tubes, ovaries or the tissue lining the pelvis. So, if a partial or subtotal hysterectomy is done, only the uterus is removed, leaving the ovaries, fallopian tubes and cervix. The endometrial cells requires estrogen to prevail. Ovaries produce estrogen which influences the endometrial cells outside the uterus. That is why even after a partial hysterectomy, endometriosis can recur, rather it remains, with same symptoms as before the hysterectomy surgery, specially during ovulation. A total hysterectomy also does not remove the ovaries hence, there are chances of endometriosis recurring. However, if both the ovaries are removed, it minimizes endometriosis recurrence, since the source of estrogen i.e. the ovaries are removed. The process of removal of both the ovaries along with the uterus and fallopian tube is called hysterectomy (complete or partial) with bi-lateral salpingo-oophrectomy. Nevertheless, if you are taking estrogen therapy for any reason, this may stimulate the endometriosis again.

All the above surgical methods will not necessarily bring about complete menopause in women. However, it does terminate the possibility of bearing children. In partial hysterectomy, since a very small part of the uterus is left along with the cervix, some women may experience mini-periods. But in total hysterectomy, the entire uterus along with the cervix is removed, so ideally there should not be any periods or bleeding. If the ovaries are still present, they produce the hormones required for the monthly cycle. Hence, the monthly cycle persists i.e. all the other PMS symptoms will persist while only the bleeding will have stopped.

It is always suggested that women who undergo hysterectomy for endometriosis should ask their gynecologist to check the extent of the endometriosis, and then opt for the appropriate removal method to avoid the side effects of a hysterectomy. Do not feel depressed if you are suffering from endometriosis after hysterectomy. Remember, there may be many like you out there, so always have faith!

Article source: www.buzzle.com

Partial Hysterectomy

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