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Endometriosis after Hysterectomy

Endometriosis is a medical condition where the lining of the uterus, called the ‘endometrium’ starts growing outside the uterus. This tissue could be found in the ovaries, near the bladder, the abdominal wall, or the pelvic area. At the time of menstruation, this tissue bleeds along with the endometrium. But because the blood shed by this tissue is not able to find an exit, it stays there, causing severe pain and irritation. It may also lead to the development of scar tissues and adhesions.

Some of the symptoms of endometriosis include extremely painful periods, pain during physical intercourse, and infertility. In several cases, where women are battling severe pain caused by endometriosis, doctors usually recommend a total hysterectomy as a relief measure. Total hysterectomy is a process where both the uterus and the cervix are removed from the body. However, it has been observed that even after the removal of the uterus and cervix, the tissue does not completely eradicated.

Young women who suffer from endometriosis are also prescribed hysterectomy. In this case, menopause sets in way to early. Doctors administer hormone-replacement therapy (HRT) to make up for hormones that got lost in the process of hysterectomy. HRT may lead to a relapse of endometriosis. This is mainly because one of the hormones involved in HRT is estrogen, which is also the hormone that perpetuates endometriosis.

Therefore, some medical experts are of the opinion that hysterectomy is not the answer to endometriosis.

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