Effect of Bilateral Oophorectomy on Women's Long-Term Health
Open accessAbstract
Bilateral oophorectomy at the time of hysterectomy for benign disease is commonly practiced in order to prevent the subsequent development of ovarian cancer or other ovarian pathology that might require additional surgery. At present, bilateral oophorectomy is performed in 78% of women aged between 45 and 64 years having a hysterectomy, and a total of approximately 300,000 prophylactic oophorectomies are performed in the USA every year. Estrogen deficiency resulting from pre- and post-menopausal oophorectomies has been associated with higher risks of coronary heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression and anxiety in many studies. While ovarian cancer accounts for 14,800 deaths per year in the USA, coronary heart disease accounts for 350,000 deaths per year. In addition, 100,000 cases of dementia may be attributable annually to prior bilateral oophorectomy. At present, observational studies suggest that bilateral oophorectomy may do more harm than good. In women who are not at high risk of developing ovarian or breast cancer, removing the ovaries at the time of hysterectomy should be approached with caution.
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Previous reports in the literature indicate that both ovarian conservation and oophorectomy are linked to increased CVD risk.
“The attenuation of the increased risk of composite CVD after the exclusion of women with hysterectomy supports previous reports in the literature that both ovarian conservation and oophorectomy are linked to increased CVD risk. 33”
From Risk of cardiovascular outcomes among women with endometriosis in the United Kingdom: a retrospective matched cohort study (2021) · cites this paper as [33]
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Bužinskienė, D., Marčiukaitytė, R., Šidlovska, E., & Rudaitis, V. (2023) · Medicina · doi:10.3390/medicina59061097 · Cited by 13 · see citing works
Psychosocial Determinants of Marital Satisfaction Among Gynecologic Cancer Survivors in Malaysia
Hatta, S., Woon, L. S., Nor, N. S. N. M., & Nasir, S. M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.744922 · Cited by 13 · see citing works
Circulating androgens are associated with mood disturbances in young postmenopausal women
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Validation of the BOADICEA model for epithelial tubo-ovarian cancer risk prediction in UK Biobank
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Gender Differences in Patients With Stable Chest Pain
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The Appraisement of Antioxidant and Oxidant Status in Women Undergoing Surgical Menopause
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Is there any difference in hearing function between surgical and natural menopause?
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- Authors
- Parker, W. H., Jacoby, V., Shoupe, D., & Rocca, W.
- Affiliations
- University of California, Los Angeles (US)
- University of California, San Francisco (US)
- University of Southern California (US)
- Mayo Clinic (US)
- Corresponding author
- Parker, William H
- Jacoby, Vanessa
- Shoupe, Donna
- Rocca, Walter
- Venue
- Women's Health
- Publisher
- SAGE Publications
- Published
- 2009-09
- Volume
- 5
- Issue
- 5
- Pages
- 565-576
- ISSN
- 1745-5057 (ISSN-L)
- 1745-5065
- OpenAlex
- W2170988125
- Cited by
- 161
- References
- 107
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 11 · 2023: 11 · 2022: 15 · 2021: 18 · 2020: 11 · 2019: 14 · 2018: 9 · 2017: 10 · 2016: 8 · 2015: 9 · 2014: 4 · 2013: 9 · 2012: 5
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Women s Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Keywords
- bilateral oophorectomy, hysterectomy, prophylactic oophorectomy, estrogen deficiency, menopause, coronary artery disease, stroke, hip fracture, dementia, cognitive impairment, depression, anxiety, parkinsonism, ovarian cancer prevention, long-term health effects
- MeSH terms
- Affect, Decision Making, Female, Health Status, Hip Fractures, Humans, Hysterectomy, Middle Aged, Osteoporosis, Ovariectomy, Ovary, Quality of Life, Time Factors, Women's Health, Treatment Outcome, Risk Assessment, Sexuality
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