Senior gynaecologist breaks down common myths about surgery for endometriosis: What all women should know

From fertility fears to recurrence worries, endometriosis surgery is often misunderstood. Experts clarify six common myths — and highlight how modern treatments can improve pain, recovery, and reproductive health. (Image: Pexels)

Endometriosis is a long-term painful disorder which millions of women around the world suffer from and do not get diagnosed. It happens when tissue that is similar to the lining of the uterus expands outside it, causing inflammation, pain and sometimes infertility. Surgery is a common next step for many women if medications or other treatments do not help. But conversations about endometriosis surgery are often full of myths, fear, and misinformation.

From fears about fertility to misunderstandings on recurrence, recovery and more, women’s false beliefs may be deterring them from getting the appropriate medical help at the right time. There are many who fear surgery is the “last card” or that it always gets complicated, but the reality appears to be much more hopeful. Advancements in the field of medicine have made modern surgery safer, more accurate, and more effective than its ever been.

Dr Mayur Raghavan, Chennai based consulting gynaecologic surgeon, tells Moneycontrol,  "Separating fact from fiction is critical when it comes to making health decisions. Women are empowered, better informed and confident in seeking endometriosis treatment with the support of gynaecologists and surgeons."

Also Watch: What is endometriosis? Understanding its causes, symptoms, risk factors and more

Myth 1: Surgery Is a Last Resort

Fact: Surgery is not only for the worst cases. Early surgery can greatly reduce pain, protect organs, and enhance fertility in many women. Most modern surgeons use laparoscopic techniques to perform these procedures, resulting in faster post-surgery recovery and improved long-term results.

Myth 2: Endometriosis Always Returns 

Fact: You may be more likely to have OCD symptoms re-emerge after you stop treatment, but recurrence is not an automatic given. With a competent specialist who clears all the visible lesions, recurrence rates will be reduced considerably. Lifestyle and post-surgical, hormonal therapy can minimize these risks.

Myth 3: Surgery Causes Infertility

Fact: Actually, surgery often does improve fertility. It permits the operator to resect endometriotic tissue that is identified on all surfaces of the ovary, fallopian tubes and in the area surrounding these structures, thus returning anatomy to its normal form and maximizing fertility, spontaneously or with assisted reproductive technology.

Myth 4: Recovery Takes Months

Fact: For the most part, patients who undergo modern laparoscopic surgery can expect to return to their usual activities in a few weeks time. Post op, with good care like rest and recheck appointments and gentle exercise recovery is very easy to tolerate.

Myth 5: Pain After Surgery Means It Didn’t Work

Fact: Some discomfort for a few days following surgery is expected and helps in recovery. Chronic pain is not always a sign of recurrence — it could be due to nerve sensitivity or other issues. Frequent follow-up recognizes and addresses these problems.

Also Read: How does endometriosis affect overall health and what you can do to avoid it, according to a Gynaecologist

Myth 6: Surgery Cures Endometriosis Once And For All

Fact: Surgery can clear up the symptoms by a lot, but endometriosis is for life and often requires long-term treatment. For the best outcome, it may take surgery and a blend of hormonal therapy and healthy living choices.

FAQs on Myths about Endometriotic Surgery:

1. Is surgery always the last option for treating endometriosis?
No, early surgery can greatly reduce pain and improve fertility in many women.

2. Does endometriosis always return after surgery?
Not necessarily. With a skilled specialist, recurrence rates can be reduced, and lifestyle and hormonal therapy can help minimise risks.

3. Will surgery cause infertility?
In fact, surgery often improves fertility by restoring normal anatomy.

4. Does recovery from endometriosis surgery take months?
Most patients recover within a few weeks with proper post-operative care.

5. Is pain after surgery a sign that it didn’t work?
Some post-surgery discomfort is normal and aids recovery. Chronic pain may not indicate recurrence and can be managed with follow-ups.

6. Does surgery cure endometriosis completely?
Surgery can significantly alleviate symptoms, but endometriosis is a lifelong condition that may require ongoing treatment.

Disclaimer: This article, including health and fitness advice, only provides generic information. Don’t treat it as a substitute for qualified medical opinion. Always consult a specialist for specific health diagnosis.