Surgery, Scar Tissue & Recovery Expectations

• The type of surgery​

  • Excision- cutting out the tissue at the root; ideal for endometriosis​

  • Ablation- burning tissue off the surface; may not remove all tissue

  • Bowel or bladder surgery- sometimes needed if endo affects those organs

  • Hysterectomy- removal of the uterus; sometimes considered for adenomyosis

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• The extent of disease-

  • how many areas are affected (pelvis, ovaries, bowel, bladder, or womb wall)

  • how deep the tissue has grown

  • previous surgeries and existing scar tissue​

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• Inflammation levels​

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• Stress and sleep

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• Gentle movement during healing

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For adenomyosis, surgery is less common but can be done in some cases (like adenomyomectomy, where adenomyosis tissue is removed). Often, symptom management focuses on movement, hormone balance, and reducing inflammation.

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Healing after surgery isn't linear and recurrence is possible.

 

Ongoing support after surgery matters just as much as the surgery itself.