What is the likelihood that hysterectomy for endometriosis will permanently cure or eliminate the associated pain?
In this study, 80% of the women under age 30 reported that the hysterectomy completely cured their pain. On the other hand, 50% of the women still admitted to painful intercourse (dyspareunia). It is not clear if that was due to low estrogens if the ovaries were also removed at the time of hysterectomy, but it must temper the 80% report of being pain free. Is depression more likely after a hysterectomy at a young age for endometriosis-associated pain? While the measurement scores of depression tests were no different for younger women having hysterectomies than for older women having hysterectomies, and no difference in the proportion of women seeking psychiatric counselling (22-25%), there was a much higher rate of reporting a sensing of loss in the years following hysterectomy. This is not surprising considering only 37.5% of the younger women completed their childbearing versus 84.6% of the age over 40 who completed their childbearing. Thus there are definitely some emotional issues
