Chronic Illness & Endometriosis Health

Excision Surgery: The Good, The Bad, and the Pill that goes Where?

When I went in to have my surgery I knew the inherent risks and had a basic understanding of what to expect. Heck, I was posting about it! I had a previous laparoscopic surgery in 2007, so I thought I was an ol’ pro! Yet, ten years of growth, ten years of aging, and a new procedure make a world of difference.

Waking up from my procedure three weeks ago, I was told that the doctor had found two hernias, some fibrous growth, endometriosis and a heart-shaped uterus. Uh, what?!

It felt like I walked into Target for dog food and walked out five-hours later.  During my post-operative consult with my doc on Thursday, she went over all the gory photographs of my gorgeously venous insides and explained in more details what my husband had tried to explain: two relatively large,  albeit occult hernias were found and repaired; a fibroid was located on my left ovary and removed, endometriosis was located on my bladder, under my uterus and other random locations (all removed to the best of everyone’s knowledge), and then a septum creating a cute heart-shape in my uterus was located and flattened.

She typed my endometriosis at Stage 2, and said that her office has seen a 5% recurrence rate. Not too shabby!  Dr. P is the best, Jacksonville Center for Repro is phenomenal! dying-gif

As a result of a the reconstruction done on my insides, Dr. P prescribed another medication on top of the pain medication we had discussed at the pre-op appointment and already filled. Keep in mind I was still groggy from my anesthesia, but when the nurse started going over the new prescription and said “you’ll take half a pill twice a day, vaginally,” I just looked at her and nodded. When we walked out, I turned to my husband and said “she wants me to put a pill WHERE?!” I could not comprehend how the heck that was going to work. And, quite frankly, after three weeks of having to self-administer this tiny little pill, I still have no clue why it is done in this manner, as my WebMD degree has bestowed upon me that there is a cream version of estrogen that works just as well as the pill form.

Anyways, all my parts have been given passing marks now and Dr. P does not believe I will have any issues with fertility due to the endometriosis, we obviously cannot rule out other issues yet since the fibroid and heart-shape uterus caught us all off-guard. Nonetheless, once I am pain-free and my uterus is fully healed in 2-3 months, I should be feeling better.

Right now the pain I am feeling, according to the doctor, is likely from the mesh used to treat the hernia hardening. So, as of Thursday, I started massaging my hernia areas daily as deep as possible to loosen the mesh. It has not hurt as much as the doctor warned me it would, so I feel lucky.medications_3

The main issue, aside from pain, that I am dealing with right now is my emotional stability. Before the surgery I was a mess due to the constant pain, but I had a light at the end of the tunnel to look forward to ahead of me. Now, I almost feel like I’ve lost a lot of my direction on this side of my surgery. You would think it would be the other way around. I do not know how to explain it. Maybe it’s a jumbling of hormones from the surgery causing an increase in my depression? All I want to do is lay in bed and sleep. It is quite pathetic. Although, I am hopeful that everything will straighten out over the next few weeks.

If you are going to get a laparoscopic excision surgery anytime in the near future, my advice to you is to give yourself as much recovery time as possible. I went back to work too soon and pushed myself to get moving way too soon. The moment I had a setback, instead of allowing myself to relax and let my body progress naturally through the recovery, I pushed harder to recover in time to return to work.


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6 Comment

  1. It’s always a rocky road after surgery, and I think part of what you’re feeling is because you feel so defined by your condition; I know I do. The just-lay-down-and-sleep prospect is overwhelming me.

    1. Yes! It’s also partly, what happens when there is no more pain? I’ve been so defined by it for over a decade the idea of being completely pain free is also challenging, as it feels as though I am losing a part of my identity.

      1. That sounds exactly right I have had this condition somewhat mildly for nearly 3 years but I already feel that it defines me, and yes without the pain you feel like you’ve lost a part of yourself. But we need to remember that we’re talented and beautiful women, who just happen to have this condition 🙂

  2. Hi, I just joined this blog. Wish you recover soon. I have been diagnosed with endometriosis, have been told it’s near my right ovary and rectum area. Have been dealing with excruciating rectal pain for last 4 years. Gastrointerlogist have advised me to get surgery done and get this removed. I am waiting for gynaecologist appointment to get her advice if it could be treated by drugs or surgery is the only option. Also I have been told it comes back even after surgery.. Any thoughts on this?

    1. My only advise would be to make sure you gynecologist is an excision specialist (I am working on a list of specialist by area/state) there are certain doctors that specialize in excision removal of endometriosis instead of the previously used ablation (or laser) removal. The excision removal has extremely low recurrence rates, my doctor gave me only a 5% chance of recurrence of endometriosis.

      Do not jump into ANY doctor performing the surgery. If you email me where you are from, I can see if there are any specialist near you 🙂

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