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Published on: January 22, 2022
Elective oophorectomy for benign gynecological disorders
Donna Shoupe1, William H Parker, Michael S Broder
1Keck School of Medicine of the University of Southern California, Los Angeles, CA 90033, USA. shoupe@usc.edu
Summary
Elective oophorectomy has risks, including cardiovascular disease and osteoporosis. Conserving ovaries until at least age 65 improves long-term survival for women at average risk of ovarian cancer.
Area of Science:
- Gynecology
- Preventive Medicine
- Gerontology
Background:
- Elective oophorectomy is a surgical procedure to remove ovaries.
- The decision involves balancing cancer prevention against potential long-term health consequences.
Purpose of the Study:
- To review the risks and benefits of elective oophorectomy.
- To determine the optimal age for oophorectomy where benefits outweigh risks.
Main Methods:
- Systematic review of published articles on oophorectomy risks and benefits.
- Analysis of quality-of-life and mortality outcomes.
- Comparison of oophorectomized versus non-oophorectomized women regarding hormone-linked diseases.
Main Results:
- Oophorectomy is linked to increased cardiovascular disease, osteoporosis, dementia, and reduced well-being.
- Benefits include ovarian and breast cancer risk reduction.
- Ovarian conservation until age 65 is associated with significantly higher long-term survival rates, primarily due to reduced cardiovascular disease and hip fracture mortality.
Conclusions:
- Elective oophorectomy carries significant short- and long-term health risks.
- Ovarian conservation until at least age 65 is recommended for women at average risk of ovarian cancer to enhance long-term survival.
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