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Sunday, May 31, 2015

Removing your fallopian tubes may decrease your risk for ovarian cancer

Research has shown that the majority of ovarian cancer arise from fallopian tubes, not ovary.  You may happen planning to have your uterus removed (hysterectomy) for non-cancerous reasons (fibroid, pain, excessive bleeding, etc).   And if you are a young woman, most of your surgeon would recommend preservation of your ovary/ovaries while removing your uterus.  A 2015 paper from Obstetrics and Gynecology journal showed that concurrent prophylactic removal of your fallopian tubes could reduce your ovarian cancer by 50%.

The removal of your fallopian tubes usually take only a few extra minutes.  Most surgeons do not even charge extra to do this.  There is a small risk of compromising blood perfusion to the ovary.   Please discuss with your surgeon if you plan to have hysterectomy for benign (non cancer) reasons.

Reference:
Kwon JS, et a.  Costs and Benefits of opportunistic salpingectomy.   Obstet Gynecol 2015
Falconer H, et al. Ovarian cancer risk after salpingectomy.  JNCI 2015

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