About 500,000 hysterectomies are performed annually in the US.
Many of these surgeries are done for benign (non cancer) reason such as
bleeding, fibroid, etc. Many of these
patients, especially if they are young, are often offered to remove their
uterus but preserve their ovaries. They
often ask what is the risk of needing surgery in the future because of some
problems with their ovaries.
Casiano
and her team published a study to answer such question. Using Rochester Epidemiology Project
resources, they compared the risk of
oophorectomy (removal of ovaries), among 4,931 women, who underwent
ovary-sparing hysterectomy for benign indications (case group) with 4,931 age-matched women who did not
undergo hysterectomy (referent group). With 30 years follow up, 9.2% of women of
elected to preserve their ovaries required another surgery to remove the
ovaries. This only 1.9 percentage
points higher than the incidence of oophorectomy in referent women with intact
reproductive organs.
The
conclusion of the study is try to preserve your ovaries during hysterectomy if
you are pre-menopausal and being operated for non-cancer diagnosis. However, as always, your case may be unique
and do discuss it with your surgeon.
Reference:
Casiano ER,
Trabuco EC,
Bharucha AE,
Weaver AL,
Schleck CD,
Melton LJ 3rd,
Gebhart JB. Risk of oophorectomy
after hysterectomy. Obstet Gynecol. 2013 May;121(5):1069-74
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