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  • Q&A with Australian Health Practitioners

    Should I have a hysterectomy?

    Related Topics
    Endometriosis Pelvic Pain Women's Health
    I had laproscopic surgery last week and the specialist found severe endometriosis - the type he apparently may only see twice a year so he couldn't remove. I've had severe period cramp over the years but go a long time with little to no pain, I'm 53 so they had tapered off in February this year till a severe infection in August that they couldn't quite identify. Since then I've had 3 periods. Sigmoid colonoscopy showed inflamation was outside bowel. I had back and leg pain I said felt different to sciatica so they found a couple of cysts and another mass which led to the laproscopic surgery. I suffer sever constipation and it would be worth the hysterectomy if it fixes that but not much I read indicates that would be a constipation fix - I do everything else right eg. exercise, water, food etc. I suppose if I think the leg pain will get worse or a hysterectomy would fix constipation I would have it. Leg pain did improve as I got more active a few weeks after the August infection.
    • 1 answer
    • Jade Hucker
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  • Jade Hucker

    Clinical Psychologist, Psychologist

    Unfortunately there is no right or wrong answer to this one. Most surgeons are very reluctant to even consider this option until you have experienced menopause so it may be a few years before this is even an option.
    Secondly, you need to be realistic about the possible outcomes. Having a hysterectomy may or may not be effective in terms of providing any pain relief. There are no quarantees and you need to be prepared for the fact that this may not be the answer.
    Finally, I urge you to consider the psychological impact that a hysterectomy may have in terms of your self identity as a woman. Again, this may not be an issue for you but many women are (understandably) so consumed by the pain that they don't consider this until after.
    Hope that helps somewhat

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