{"paper_id":"d8ce8d41-667c-4d92-af9b-c03320d4c38c","body_text":"The Effect of Surgical Menopause on Vasomotor Symptoms and Anxiety in Women: A Prospective Study\nAbstract\nMaterials and Methods: The study was designed prospectively. Women who underwent total abdominal hysterectomy and bilateral salpingectomy (TAH+BS) and total abdominal hysterectomy and bilateral salpingo-ophorectomy (TAH+BSO) in the perimenopausal period for benign indications were included in the study. Three months after surgery, menopausal symptoms (such as vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleep problems) were investigated. Beck Anxiety Inventory (BAI) scores were investigated one day before the operation and three months after the operation.\nResults: 51 patients with TAH+BS and 55 patients with TAH+BSO included in study. Vasomotor symptoms and postoperative BAI scores were significantly higher in the oophorectomy group (p<0.001 and p=0.009, respectively). Vaginal dryness and/or dyspareunia, which adversely affect sexual function, were significantly higher in the oophorectomy group (p=0.005). Memory and sleep problems were higher in the oophorectomy group (p=0.009 and p<0.001, respectively). Postoperative BAI scores were found to be correlated with postmenopausal symptoms (vasomotor symptoms, vaginal dryness and/or dyspareunia, memory problems, sleeping disorders) in the TAH+BSO group.\nConclusion: Vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleeping problems, and anxiety levels were significantly higher in patients who underwent bilateral salpingo-ophorectomy with hysterectomy compared to patients who underwent only hysterectomy and bilateral salpingectomy. It seems useful to inform the patients who are planned for the operation regarding these effects before the decision of oophorectomy.\nKeywords\nReferences\n- 1. Novetsky AP, Boyd LR, Curtin JP. Trends in bilateral oophorectomy at the time of hysterectomy for benign disease. Obstet Gynecol. 2011;118:1280-6.\n- 2. Backes FJ, Fowler JM. Hysterectomy for the treatment of gynecologic malignancy. Clin Obstet Gynecol. 2014;57:115-27.\n- 3. Bretschneider CE, Jallad K, Paraiso MFR. Minimally invasive hysterectomy for benign indications: an update. Minerva Ginecol. 2017;69:295-303.\n- 4. Dogan A, Ertas IE, Solmaz U, et al. Total laparoscopic hysterectomy: a single center experince of 20 months. Pamukkale Medical Journal. 2016;9:17-22.\n- 5. Jacoby VL, Autry A, Jacobson G, et al. Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches. Obstet Gynecol. 2009;114:1041-8.\n- 6. Mahal AS, Rhoads KF, Elliott CS, Sokol ER. Inappropriate oophorectomy at time of benign premenopausal hysterectomy. Menopause. 2017;24:947-53.\n- 7. Labrie F, Martel C, Balser J. Wide distribution of the serum dehydroepiandrosterone and sex steroid levels in postmenopausal women: role of the ovary? Menopause. 2011;18:30-43.\n- 8. Burger HG, Hale GE, Dennerstein L, Robertson DM. Cycle and hormone changes during perimenopause: the key role of ovarian function. Menopause. 2008;15:603-12.\nDetails\nPrimary Language\nEnglish\nSubjects\nSurgery\nJournal Section\nClinical Research\nAuthors\nCeren Gölbaşı\n*\n0000-0002-1844-1782\nTürkiye\nHakan Gölbaşı\n0000-0001-8682-5537\nTürkiye\nBurak Bayraktar\n0000-0001-6233-4207\nTürkiye\nElif Uçar\n0000-0001-5302-4688\nTürkiye\nİbrahim Ömeroğlu\n0000-0001-9200-0208\nTürkiye\nPublication Date\nJanuary 15, 2023\nSubmission Date\nAugust 10, 2022\nAcceptance Date\nAugust 25, 2022\nPublished in Issue\nYear 2023 Volume: 5 Number: 1\nCited By\nHarmful incidents following gynaecological ambulatory surgery: A scoping review\nInternational Journal of Nursing Studies Advances\nhttps://doi.org/10.1016/j.ijnsa.2026.100487","source_license":"CC0","license_restricted":false}