Many people assume that a hysterectomy will cure endometriosis, but this is a common misconception. Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, in other pelvic areas or even farther away. Since the disease exists beyond the uterus, simply removing the uterus won’t eliminate endometriosis. However, in certain cases, a hysterectomy can be a helpful part of a comprehensive treatment plan—when performed alongside expert excision surgery.

One of the primary reasons to consider a hysterectomy is adenomyosis, a separate but related condition where endometrial-like tissue grows into the muscular wall of the uterus. In some cases, there may be a distinct area of adenomyosis, called an adenoma, which can be removed similarly to a fibroid. However, more often, adenomyosis is diffusely spread throughout the uterus, making it very difficult—if not impossible—to remove while preserving the uterus. For those who do not desire pregnancy, removing the uterus is the definitive treatment for pain and heavy bleeding caused by adenomyosis.

Hysterectomy may also be considered for patients with advanced-stage endometriosis who do not wish to have children. In these cases, removing the uterus and fallopian tubes may allow for a more thorough excision of endometriosis and improve the chances of lasting pain relief. However, this decision is highly individualized and should be made in consultation with a skilled excision surgeon who can determine the best surgical approach for each patient’s unique situation.

To put it simply: hysterectomy may be appropriate for some patients with endometriosis, but on its own, it is not a treatment for endometriosis. If endometriosis is not fully excised at the time of hysterectomy, symptoms can persist even after the uterus is removed. This is why finding an experienced excision specialist is so important. At Pacific Endometriosis, we provide expert care for both endometriosis and adenomyosis, tailoring treatment plans to each patient’s needs. If you’re exploring your options, we’re here to help you make the best decision for your individual case.