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When there is a medical or surgical indication for a hysterectomy apart from endometriosis the following discussion is not really relevant. The question deals with the role of hysterectomy purely for the management of endometriosis. Women, who have pelvic pain due to endometriosis that is
unresponsive to conventional therapy that can include surgery or medication, are often advised to have a hysterectomy with or without a BSO. Age, gravidity and parity must be carefully considered when deciding on a hysterectomy and especially more so when a decision has to be taken surrounding a BSO.