Cited by 161Menopause: Health Impacts and TreatmentsEstrogen and related hormone effectsOvarian function and disorders

Effect of Bilateral Oophorectomy on Women's Long-Term Health

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Parker, William H, Jacoby, Vanessa, Shoupe, Donna, Rocca, Walter·2009·Women's Health

Abstract

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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Crossref · 10.2217/whe.09.42

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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
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
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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