Should You Have Surgery for Endometriosis Before Traveling?

Chocolate cyst

In April, I experienced abdominal pain and went to the emergency room where a CT scan diagnosed a suspected chocolate cyst.
However, due to elevated white blood cell counts, it was treated as enteritis.
At the end of May, the abdominal pain recurred, and a gynecological ultrasound revealed a 5 cm chocolate cyst.
Since I will be traveling abroad for four and a half months in mid-June, the doctor recommended that I undergo laparoscopic surgery before my trip.
Now, four days after my menstrual period has ended, I still feel menstrual-like cramps, bloating, and changes in my bowel habits, with loose stools occurring more than once a day.
Given that I will be traveling soon (in just over a week), I am concerned that laparoscopic surgery might affect my ability to work abroad (specifically, lifting heavy objects).
Should I have the chocolate cyst surgery before my trip? Current information suggests that hospitalization for laparoscopic surgery is 2 to 3 days, but how long will it actually take for me to recover enough to return to work?

Niming, 20~29 year old female. Ask Date: 2017/06/09

Dr. Huang Jianzhong reply Obstetrics and Gynecology

In April, I experienced abdominal pain and went to the emergency room where a CT scan diagnosed a suspected chocolate cyst.
However, due to elevated white blood cell counts, it was treated as enteritis.
At the end of May, the abdominal pain recurred, and a gynecological ultrasound revealed a 5 cm chocolate cyst.
Since I am scheduled to travel abroad for four and a half months in mid-June, the doctor recommended that I undergo laparoscopic surgery before my trip.
Now, four days after my menstrual period has ended, I still feel menstrual-like cramps, bloating, and changes in my bowel habits, with frequent loose stools occurring more than once a day.
However, I am concerned that laparoscopic surgery might affect my ability to work abroad (specifically, lifting heavy objects).

1.
Given my chocolate cyst symptoms, should I have surgery before traveling?
Answer: The severity of chocolate cysts can vary greatly.
Mild cases may allow you to travel as planned, while severe cases could delay your trip.
2.
Current information suggests that laparoscopic surgery requires a hospital stay of 2 to 3 days, but how long until I can return to work?
Answer: For mild cases, recovery may allow you to return to work in about 7 days.

Reply Date: 2017/06/09

More Info

When considering whether to undergo surgery for endometriosis, particularly in the context of traveling soon after, several factors must be taken into account. Endometriosis, especially when associated with chocolate cysts (endometriomas), can lead to significant discomfort and complications if left untreated. The symptoms you are experiencing, such as abdominal pain, bloating, and changes in bowel habits, indicate that your condition may require timely intervention.

From a medical standpoint, laparoscopic surgery is often recommended for the treatment of endometriosis, especially when cysts are present. The surgery not only helps alleviate symptoms but also can prevent further complications, such as the risk of rupture of the cyst or progression of the disease. Given that you have already been diagnosed with a 5 cm chocolate cyst, it is advisable to consider surgery before your trip, especially if your symptoms are affecting your quality of life.

In terms of recovery, laparoscopic surgery is generally associated with a shorter recovery time compared to open surgery. Most patients can expect to stay in the hospital for 1 to 3 days post-surgery, depending on the complexity of the procedure and their overall health. After discharge, many individuals can return to light activities within a week, but full recovery may take several weeks. It is crucial to follow your surgeon's advice regarding activity restrictions, particularly concerning heavy lifting or strenuous exercise, as these could exacerbate your condition or hinder healing.

If you choose to delay surgery until after your travels, be aware that the symptoms may worsen, potentially impacting your ability to enjoy your trip or perform your work duties. Additionally, if the cyst grows larger or if you experience more severe symptoms, you may face more complicated treatment options later on.

Ultimately, the decision should be made in consultation with your healthcare provider, who can assess your specific situation, including the severity of your symptoms, the size of the cyst, and your travel plans. They can provide personalized recommendations based on your health status and the potential risks of delaying surgery.

In summary, while traveling can be an exciting opportunity, your health should take precedence. If your symptoms are significant and you have the option for surgery before your trip, it may be wise to proceed with the laparoscopic procedure. This approach not only addresses your current health concerns but also allows you to travel with greater peace of mind, knowing that you have taken steps to manage your endometriosis effectively.

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