In this episode of The Hormone Café, Dr. Sarah Pederson walks through everything you need to know about endometriosis surgery at Vera Health & Fertility. From preparing your body before surgery to navigating recovery afterward, she shares practical tips to help you heal well, reduce inflammation, and return to your normal routine with confidence.
In This Episode, You'll Learn
🏃 How to Prepare Your Body Before Surgery
Think of surgery like training for a marathon. In the month leading up to surgery, focus on:
Exercising 3–5 times per weekStrengthening your core and pelvic floorPrioritizing cardio and resistance trainingDrinking at least 2 liters of water dailyEating a whole-food, anti-inflammatory dietGetting 8+ hours of sleep each nightPreparing your body ahead of time can support a smoother recovery.
🩺 What Happens at Your Pre-Op Appointment
During your pre-operative visit, your provider will:
Review your medical history and medicationsPerform a physical examExplain where the surgical incisions will beReview risks and answer your questionsDiscuss recovery expectationsComplete your surgical consentCome prepared with a list of questions and an updated medication and supplement list.
📅 The Week Before Surgery
To help your surgery go smoothly:
Avoid intercourse after cycle day one until surgeryStop ibuprofen, Aleve, omega-3s, and blood thinners as instructedContinue eating nutritious foods and staying hydratedMeal prep for recoveryArrange for family or friends to help during the first few days after surgeryPlanning ahead can make recovery much easier.
🍽️ The Night Before Surgery
Eating a nourishing meal with protein, healthy fats, and carbohydratesDrinking plenty of waterTaking approved nighttime medicationsStopping all food and drinks at midnight unless instructed otherwiseProper nutrition before surgery helps provide the energy your body needs for healing.
🏥 What to Expect on Surgery Day
Arrive about two hours earlyBring a trusted support person to drive you homeLeave jewelry and valuables at homeMeet your surgical and anesthesia teamsDiscuss any previous anesthesia concernsKnowing what to expect can help ease anxiety before surgery.
❤️ Recovery After Surgery
Immediately after surgery you can expect:
Time in the recovery room before going homeMild soreness and fatigueWater and light foods as toleratedScheduled pain medications for the first 48 hoursA gradual return to eating and activityBringing nourishing snacks, bone broth, or electrolytes may help you feel more comfortable after surgery.
🚶 How to Heal Faster
Recovery isn't just about resting—it's about moving appropriately.
Walking short distances beginning the day of surgeryDrinking plenty of fluidsTaking stool softeners as directedSleeping on your backUsing heat packs for gas discomfortAvoiding heavy lifting for four weeksGradually returning to exerciseThese habits help reduce complications and support healing.
⚠️ When to Call Your Provider
Contact your care team if you experience:
Fever over 100.4°FHeavy vaginal bleedingSevere or worsening painPersistent nausea or vomitingTrouble urinatingIncisions that appear infected or begin openingKnowing what is normal—and what isn't—can help you recover safely.
🌿 Recovery Takes Time
Healing happens in stages:
Around 50% recovered by 2 weeksAround 80% recovered by 4 weeksNearly fully recovered by 6 weeksRest, nourishing food, hydration, and support from family or friends all play an important role in recovery.
Weekly Challenge
If you're preparing for surgery, spend time this week creating your recovery plan. Meal prep healthy foods, gather comfortable supplies, arrange for help at home, and write down any questions you'd like to discuss with your provider at your pre-op appointment.
Key Takeaways
Preparing your body before surgery can improve recovery.Nutrition, hydration, sleep, and exercise all play a role in healing.Plan ahead by meal prepping and arranging support at home.Follow your recovery instructions carefully, including activity restrictions.Healing takes time, and allowing your body to rest is one of the most important parts of recovery.A personalized post-operative plan can help reduce inflammation and support long-term healing after endometriosis surgery.Resources & Next Steps
If you're considering endometriosis surgery or have questions about your symptoms, our team is here to help. We offer comprehensive evaluation, surgical care, and personalized recovery plans designed to support your long-term health and fertility.
🌐 verafertility.com