Long-Term Health Consequences After Ovarian Removal at Benign Hysterectomy
Ovarian cancer is often fatal and usually presents late. Because there is no suitable screening test, preventative surgery has being promoted in the form of opportunistic removal of the ovaries at the time of elective hysterectomy.
All surgical interventions have consequences, some of which are unexpected. This retrospective survey looked at data from Denmark comparing two large groups of women; one had hysterectomy with removal of ovaries, the other group had hysterectomy alone. These groups were assessed for the presence of cardiovascular disease (CVD), cancer and overall mortality. Both groups had a decreased incidence of ovarian cancer.
Those women who had their ovaries removed had higher risks of CVD, other cancers and mortality at 10 years after surgery. This was true for all the women but more especially for the pre-menopausal.
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