Laparoscopic surgery, being minimally invasive, often allows for a quicker recovery compared to open abdominal surgery (laparotomy).

Recovery after endometriosis surgery typically takes several weeks to a few months. However, it will vary depending on the surgical technique used, the extent of endometriosis, and personal health factors.

If you’re preparing for endometriosis surgery, understanding the recovery process can help you feel more comfortable and prepared.

Here’s a general overview of the recovery phases:

  • First night: You’ll likely spend the first night or two in the hospital. Expect abdominal soreness, bloating, fatigue, and vaginal bleeding.
  • First few days: You’ll still experience pain, bloating, fatigue, and bleeding.
  • Weeks 1–2: You may gradually resume light activities. Many people return to work or school after a week, depending on the nature of their tasks.
  • Weeks 3–4: Energy levels often improve, and you can slowly reintroduce more activities. However, strenuous exercises should still be avoided unless cleared by your healthcare professional.
  • Weeks 6–8: Most people can return to their usual routines, including exercise and sexual activity, after consulting with their healthcare professional.
  • Weeks 8–12: By now, you’ll likely be completely pain-free.

Your recovery time may be longer if you have a laparotomy (open abdominal surgery) as opposed to a laparoscopic surgery (keyhole surgery).

Out of all endometriosis surgeries, a total hysterectomy — often only suggested as a last resort if your condition does not improve with other treatments — has the longest recovery time.

Remember, these timelines can vary. Always follow the specific guidance provided by your surgical team.

You might experience certain adverse effects after surgery. Often, over-the-counter medications, stretching, and basic self-care practices can reduce the discomfort.

Here are how to relieve the most common side effects after endometriosis surgery:

  • Abdominal pain and cramping: Over-the-counter pain relievers like ibuprofen or acetaminophen can help. Always consult with a healthcare professional before taking any medication.
  • Shoulder pain: This can result from the gas used during laparoscopy. Gentle movement and applying heat can provide relief.
  • Bloating and gas: Walking and staying hydrated can alleviate these symptoms.
  • Fatigue: Ensure you get adequate rest and maintain a balanced diet to support healing.
  • Constipation: Increase fiber intake, stay hydrated, and consider discussing stool softeners with your healthcare professional if needed.

If any symptoms persist or worsen, reach out to your healthcare professional for advice.

While complications are uncommon, being aware can aid in early detection. Possible complications of endometriosis surgery include:

  • Infection: Signs include fever, discoloration, or discharge at the incision site. Keep the area clean and monitor for any changes.
  • Bleeding: Unusual bleeding or bruising should be reported to your healthcare professional promptly.
  • Organ injury: In rare cases, nearby organs can be affected during surgery. Persistent pain or unusual symptoms warrant medical attention.
  • Adhesions: Scar tissue can form, potentially causing pain or infertility. Discuss preventive measures with your surgical team.

Adhering to post-operative instructions and attending follow-up appointments are crucial for a smooth recovery.

When to seek medical care

Consult with a healthcare professional if you experience any of the following symptoms after endometriosis surgery:

  • A fever over 100.4°F (38°C)
  • Severe or worsening abdominal pain
  • Discoloration, swelling, or discharge at the incision site
  • Heavy vaginal bleeding
  • Persistent nausea or vomiting
  • Difficulty urinating or changes in bowel movements

Prompt attention to these symptoms can prevent further complications.

Resuming daily activities should be gradual. Don’t push yourself to return to your usual activities before you feel comfortable doing so.

Keep this in mind:

  • Work or school: Depending on the nature of your tasks, you might return within 1–2 weeks. Jobs requiring physical exertion may necessitate a longer break.
  • Exercise: A few days after surgery, you can start light activities like walking. However, wait for your healthcare professional’s clearance before engaging in strenuous exercises.
  • Sexual activity: Typically, it’s advisable to wait 6–8 weeks postsurgery, but always consult your healthcare professional for personalized guidance.

Research shows that endometriosis surgery does, on average, improve quality of life. However, 15.8% to 28.7% of people find that certain symptoms don’t go away entirely after surgery.

Long-term recovery also involves monitoring for any recurrence of symptoms and maintaining regular check-ups.

Recovery from endometriosis surgery is a personal journey. While many experience significant relief from symptoms, it’s essential to have realistic expectations and maintain open communication with your healthcare team.

With proper care and support, you can navigate the recovery process effectively and work toward improved well-being.