Endometriosis Surgery: What to Expect
For many people with endometriosis, surgery feels like the light at the end of a very painful tunnel. After years of struggling with debilitating pain, bloating, and fatigue, excision surgery can offer relief - but it’s not always a perfect fix.
So, what should you expect before, during, and after surgery? Let’s break it down.
Does surgery help With pain relief?
For some, excision surgery is life-changing. Studies show that up to 75% of patients experience significant pain relief post-surgery - however, endometriosis can return in some cases within five years especially, if all lesions weren’t removed.
Pain relief isn’t instant. In fact, many people still experience pain in the first few months after surgery as their body heals from inflammation. Some report:
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Constipation and bloating (a common side effect of anesthesia)
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Fatigue and brain fog
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Pelvic pain flare-ups as nerve endings adjust
WUKA Tip: Post-Surgery Pain Management
Applying heat can be a gentle, effective way to manage post-op pain. Our Wearable Hot Water Bottle wraps around your body, keeping warmth in place whether you're resting or moving around.
How long does it take for your cycle to normalise following surgery?
Some people see an improvement in period pain immediately, while others take a few cycles for things to settle. its important to remember that excision surgery removes lesions, but it doesn’t stop hormonal fluctuations. If your cycle feels irregular, research suggests:
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Iron supplementation can help with post-surgery fatigue (source). WUKA Cycle Care Iron Gummies support recovery by replenishing iron lost through heavy bleeding.
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Vitamin D plays a role in hormone regulation (Irani & Merhi, 2014). WUKA’s Vitamin D3+K2 can help support hormone balance as your body adjusts.
Is it normal to experience pain a month after laparoscopy?
Yes! While many expect instant relief, healing takes time. If you’re still in pain a few weeks post-op, it could be due to:
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Post-surgical inflammation
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Scar tissue forming
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Pelvic floor dysfunction, which can worsen after surgery due to muscle tension
What Helps?
Gentle movement, hydration, and warm compresses can reduce inflammation. If pain persists beyond three months, ask your doctor about pelvic physiotherapy.
Is pain likely to return after surgery?
Unfortunately, yes. If you’re still experiencing pain a year after surgery, possible causes include:
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Endometriosis regrowth (especially if excision wasn’t complete)
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Adenomyosis, which can cause continued cramping
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Pelvic floor dysfunction, which may require additional treatment
Final thoughts: is surgery right for you?
Surgery isn’t a guaranteed cure, but for many, it can be life-changing. If you’re considering excision, go in with realistic expectations:
✅ Healing takes time - expect ups and downs
✅ Excision is more effective than ablation - ask your surgeon about their technique
✅ Post-surgery care is just as important - support your body with the right nutrients and pain relief tools
