Hysterectomy & Endometriosis: Myths, Realities, and When It Actually Helps

In this episode of The Endometriosis Podcast, Dr. Nicholas Fogelson and Dr. Shanti Mohling take on one of the most emotionally charged and misunderstood topics in pelvic pain care: hysterectomy. Drawing on decades of surgical experience, they unpack common myths, clarify confusing terminology, and explain when hysterectomy may—or may not—be an appropriate part of endometriosis treatment. This thoughtful, nuanced conversation emphasizes individualized care, informed consent, and the importance of excision surgery alongside any uterine decision Highlights: Why hysterectomy does not cure endometriosis—and why it can still be helpful for some patients with pelvic pain The difference between hysterectomy, ovary removal, and fallopian tube removal (and why the distinctions matter) Adenomyosis, fibroids, and other uterine pain sources that can influence surgical decisions Effects of hysterectomy on hormones, menopause timing, sexual function, and pelvic organ support How surgical technique, experience, and thorough excision impact long-term outcomes and recurrence risk For clinical consultations: contact Northwest Endometriosis and Pelvic Surgery in Portland, OR at (503) 715-1377 or email us at newpatients@nwendometriosis.com Follow us on Instagram: @Nicholasfogelson and @drshantimohling Download a transcript of this episode.