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Hysterectomy as surgical treatment of endometriosis: yes or not HYSTERECTOMY AS SURGICAL TREATMENT OF ENDOMETRIOSIS: YES OR NOT
When a woman is faced with the decision of whether or not to have a hysterectomy she has almost invariably had a harrowing and traumatic fight with unrelenting endometriosis for many years. Her symptoms are usually so severe and persistent that they have taken over her life completely and there is no other way out. The decision to have a hysterectomy simply becomes a quality of life issue.
Nevertheless, most women have to hit rock bottom and cross that 'invisible barrier' of knowing emotionally that they have reached the end of their tether before they can make the decision to have a hysterectomy.
The decision to have a hysterectomy should be yours and yours alone. Do not allow anyone else - your gynecologist, your partner, your mother or your best friend - to make the decision for you. You have to live with the decision, not them.
The decision must also be made at your pace. Do not let yourself be pressured into making a hasty decision just because your gynecologist or someone else wants an answer by a certain date. Only you will know when you have finally reached the end of your tether so take as much time as you need. If you have to ask yourself whether or not you are ready for a hysterectomy then you aren't.
Even though you must make the final decision it will usually be beneficial if you discuss your options with your gynecologist, partner, family and friends, as well as other women who have been through the same operation. It is often worthwhile talking to a counsellor to help explore and resolve the issues.
Before you make a final decision get as much information as you need about the operation and its likely consequences. Do not hesitate to ask your gynecologist any questions that you may have. If you have any doubts about the need for the operation get a second, or even a third, opinion.
Women who make the decision themselves and at their own pace usually recover more quickly and have less physical and emotional problems following their surgery.
Deciding to have a hysterectomy is a major and irreversible decision that will affect all aspects of your life. In making the decision you need to consider both the physical and emotional aspects.
You need to think about the degree to which your quality of life is compromised by your endometriosis and weigh that up against the likely advantages and disadvantages that the surgery will bring.
A hysterectomy will probably mean much less pain and disability. It will also mean that you cannot have children in the future so you will have to decide whether retaining your possible ability to have children is more important to you than relief from your symptoms and getting on with life. Your sexual response will probably change too - for better or worse - but you will not know how until after you have had the surgery
You need to think about what effect not having all of your reproductive organs will have on your self-image. You may also need to consider the reactions of others after you have had a hysterectomy and what effect that will have on your relationships with them.
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WOMEN’S HEALTH
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Hormonal treatment of endometriosis: the oral contraceptive pill