The Hormone Cafe

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 week
• Strengthening your core and pelvic floor
• Prioritizing cardio and resistance training
• Drinking at least 2 liters of water daily
• Eating a whole-food, anti-inflammatory diet
• Getting 8+ hours of sleep each night

Preparing 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 medications
• Perform a physical exam
• Explain where the surgical incisions will be
• Review risks and answer your questions
• Discuss recovery expectations
• Complete your surgical consent

Come 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 surgery
• Stop ibuprofen, Aleve, omega-3s, and blood thinners as instructed
• Continue eating nutritious foods and staying hydrated
• Meal prep for recovery
• Arrange for family or friends to help during the first few days after surgery

Planning ahead can make recovery much easier.

🍽️ The Night Before Surgery

Dr. Pederson recommends:

• Eating a nourishing meal with protein, healthy fats, and carbohydrates
• Drinking plenty of water
• Taking approved nighttime medications
• Stopping all food and drinks at midnight unless instructed otherwise

Proper nutrition before surgery helps provide the energy your body needs for healing.

🏥 What to Expect on Surgery Day

On the day of surgery:

• Arrive about two hours early
• Bring a trusted support person to drive you home
• Leave jewelry and valuables at home
• Meet your surgical and anesthesia teams
• Discuss any previous anesthesia concerns

Knowing 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 home
• Mild soreness and fatigue
• Water and light foods as tolerated
• Scheduled pain medications for the first 48 hours
• A gradual return to eating and activity

Bringing 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.

Dr. Pederson recommends:

• Walking short distances beginning the day of surgery
• Drinking plenty of fluids
• Taking stool softeners as directed
• Sleeping on your back
• Using heat packs for gas discomfort
• Avoiding heavy lifting for four weeks
• Gradually returning to exercise

These habits help reduce complications and support healing.

⚠️ When to Call Your Provider

Contact your care team if you experience:

• Fever over 100.4°F
• Heavy vaginal bleeding
• Severe or worsening pain
• Persistent nausea or vomiting
• Trouble urinating
• Incisions that appear infected or begin opening

Knowing what is normal—and what isn’t—can help you recover safely.

🌿 Recovery Takes Time

Healing happens in stages:

• Around 50% recovered by 2 weeks
• Around 80% recovered by 4 weeks
• Nearly fully recovered by 6 weeks

Rest, 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.