Hi, I'm newly diagnosed with stage 4 endo including 6 cm cyst and endo on anterior rectal wall. I've seen a private Dr who has advised I'd need surgery rather than just trying hormone treatment and my options are either a lap to remove what they can or a full hysterectomy.
I'm 45, so fertility isn't an issue. The pain has been get getting worse last few months and it's really effecting my sleep, but it's certainly not as bad as what some of you ladies have described When my pain is mild I think I should go with the lap. But when it's bad I just want it all taken out just to be sure. The Dr was very careful not to recommend one or the other, he said both were "reasonable options" - but warned if the lap didn't work I need a hysterectomy anyway.
So now I don't know what to do. I guess my question is: is stage 4 manageable with a lap and then a coil? Or am I being naive? I don't want to go through one op and then be back for another 6 months later.
As a newly diagnosed person should a hysterectomy be a last resort for if everything else fails or is it really just inevitable for someone with stage 4?