Posts Tagged ‘oophorectomy’

Bilateral Oophorectomy Outweighs Risks

Tuesday, December 31st, 2013

Women undergo hysterectomy with bilateral oophorectomy (removal of the ovaries) to prevent the development of ovarian cancer. Each year, hysterectomy is performed 300,000 times or 55 percent of the population of women in the United States. Still, there are dangerous effects caused by the removal of the ovaries. Bilateral oophorectomy increases the risk of diabetes and other chronic diseases. Women need to plan and consider carefully oophorectomy if they have low risk for ovarian or breast cancer.

The researchers found that, over 28 years of follow-up, 16.8 percent of women with hysterectomy and bilateral oophorectomy died from all causes, compared with 13.3 percent of women who had ovarian conservation. Women with ovarian risk who underwent oophorectomy have lower risk of death (four women with oophorectomy versus 44 women with ovarian conservation). Before the age 47.5 years, oophorectomy was tied to a lower risk of death from only breast cancer. The risk of death is high if the women did not use estrogen therapy and had bilateral oophorectomy.

A woman can have a sharp decline in circulating ovarian estrogen and androgens in premenopausal oophorectomy. A woman may suffer from coronary heart disease, hip fracture and neurological conditions if her estrogen level declines. There are 350,000 women who die from coronary artery disease compared to 15,000 American women who died from ovarian cancer. Hence, the risk coronary artery disease and neurologic conditions exceeds the benefits of oophorectomy of reducing the risk of ovarian cancer.

 

Small instruments are secured in the robotic arms and the surgeon sits at a console a few feet away and gets three dimensional real time views of the surgery from start to end. Places in Europe and United States have been using robotic surgery. One of the advantages of robotic hysterectomy is that it benefits women to enjoy sex better after the surgery. The FDA has recommended patients that before deciding to undergo a robotic surgery, they need to talk to their respective doctors in order to determine if da Vinci is the best surgical procedure for them.

References:

healio.com/endocrinology/reproduction-androgen-disorders/news/online/%7B9720b05b-8910-469d-a360-8f67e1f89e4a%7D/bilateral-oophorectomy-may-increase-risk-for-diabetes

mcwebprev.pri-med.com/PMO/MedicalNewsDetail.aspx?id=8789

thirdage.com/hc/p/14848/what-is-ovariectomy