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IF A HYSTERECTOMY IS SCHEDULED SHOULD YOU HAVE YOUR OVARIES REMOVED AT THE SAME TIME?
Usually the answer is NO!
CURRENT EVIDENCE: suggests that the elective removal of the ovaries at the time of hysterectomy is associated with an INCREASED overall mortality (death rate). Ovarian removal is associated with an increased risk of coronary artery disease, osteoporosis and dementia.
WHO SHOULD KEEP THEIR OVARIES: Woman under 60 with no increased risk factors for ovarian cancer (mother/sister with ovarian Cancer or BrCa gene). and no known endometriosis with chronic pelvic pain .
ONLY SLIGHT REDUCTION OF OVARIAN CANCER: Research shows the risk of subsequent ovarian cancer (when the ovaries are retained) is very low (0.3% after 24 years in the Nurses’ Health Study). Therefore, for most women removing the ovaries to reduce ovarian cancer risk does not make sense.
WHO SHOULD ELECTIVELY GIVE UP OVARIES: (At the time of hysterectomy) It seems reasonable to offer prophylactic oophorectomy to women over age 60, those with increase ovarian cancer risk or those with chronic pelvic pain and known endometriosis.
Updated 9/12/2013 Raymond Lackore MD