I am due to have my first lap next month at a BSGE centre. I've had a lap before but it was purely diagnostic and no endo was removed.
The lap next month is intended to be exploratory, with a second more extensive surgery to be carried out after christmas. The BSGE consultant is recommending a hysterectomy and removal of ovaries with complete excision of the endo but I just don't know :/ I was originally referred to them when the first gynae I saw admitted that my endo was beyond him. I had hoped that I would be able to have an excision surgery and then manage with mirena/painkillers etc.
The problem is that I have extensive bowel endo/rectovaginal endo plus adenomyosis. Fertility is not an issue as I already have children and don't want any more, but I am only 39. The BSGE consultant basically said that an excision is possible, but due to the adenomyosis, I will still have pain afterwards and still need hormone treatments such as the mirena, and if this worsens and I then need a hysterectomy in a couple of years I will not be able to have one due to the fact that scarring from the excision will most likely stick my uterus back to my bowel and a hysterectomy at that point could cause significant damage to the bowel. Basically it's a trade off between the ovaries and the bowel, and the loss of ovaries is easier to treat than a scarred bowel.
But I just don't know. Everything I read says that hysterectomy is wrong, removal of ovaries is wrong, it doesn't help, I could be left worse off. At the same time, this is a consultant at a BSGE centre and he is the second surgeon to say a hyst is my best option.
What are people's thoughts on this?