Occurrence of climacteric symptoms in postmenopausal women after prophylactic bilateral ovariectomy

Jacek Brodowski, Anna Jurczak, Elżbieta Grochans, Beata Karakiewicz, Maria Laszczyńska, Sylwester Ciećwież, Anna Włoszczak-Szubzda, Andrzej Starczewski, Agnieszka Brodowska
In: Clinical and Experimental Obstetrics & Gynecology · 2017 · vol. 44(3) , pp. 403–407 · doi:10.12891/ceog3587.2017 · PMID:29949282 · W3024225169
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This study analyzed climacteric symptoms in 252 postmenopausal women undergoing prophylactic bilateral ovariectomy, finding a significant increase in symptoms after surgery, particularly within the first ten years post-menopause.

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This study analyzed quality-of-life impacts after prophylactic bilateral ovariectomy in 252 postmenopausal women, stratified by time since last menstruation (1–5 years, 5–10 years, and >10 years). Using the Kupperman Index one day before and three months after laparotomy ovariectomy performed for benign uterine diseases, the authors found climacteric symptoms increased from 17.06% preoperatively to 57.8% postoperatively. After surgery, symptom patterns differed by time since menopause: group A reported more hot flushes, sweating, nervousness, and sleep disorders; group B more sleep disorders, nervousness, and sweating; and group C more nervousness. The paper relates to endometriosis and/or adenomyosis only indirectly, as it does not explicitly discuss either condition; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

PURPOSE OF INVESTIGATION: To analyse the quality of life in postmenopausal women after prophylactic bilateral ovariectomy depending on the time from menopause. MATERIALS AND METHODS: The study involved 252 postmenopausal women grouped according to the time from last menstruation: one to five years (group A), five to ten years (group B), and > ten years (group C). All women were ovariectomized during laparotomy performed for benign diseases of the uterus. Climacteric symptoms were measured with the Kupperman Index one day before and three months after surgery. RESULTS: Highly significant age differences and no substantial BMI differences were demonstrated among the study groups. Before and after surgery climacteric symptoms were reported by 17.06% and 57.8% of women, respectively. After surgery, group A women significantly more often had hot flushes, sweating, nervousness, and sleep disorders, the women in group B significantly more often reported sleep disorders, nervousness, and sweating, and the women in group C significantly more often complained of nervousness. CONCLUSION: In postmenopausal women, ovaries play the most important role during the first ten years from the last menstruation.
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Occurrence of climacteric symptoms in postmenopausal women after prophylactic bilateral ovariectomy J. Brodowski 1, A. Jurczak 2, E. Grochans 2, B. Karakiewicz 3, M. Laszczyńska 4, S. Ciećwież 6, *, A. Włoszczak-Szubzda 5, A. Starczewski 6, A. Brodowska 6 1 Primary Health Care Department, Pomeranian Medical University, Szczecin, Poland 2 Department of Nursing, Pomeranian Medical University, Szczecin, Poland 3 Public Health Department, Pomeranian Medical University, Szczecin 4 Laboratory of Histology and Developmental Biology, Pomeranian Medical University, Szczecin, Poland 5 Department of Informatics and Health Statistics, Institute of Rural Health, Lublin, Poland 6 Department of Gynecology and Urogynecology, Pomeranian Medical University, Szczecin, Poland Published: 10 Jun 2017 The Author(s). Published by IMR Press. This is an open access article under the CC BY 4.0 license. Abstract Purpose of investigation: To analyse the quality of life in postmenopausal women after prophylactic bilateral ovariectomy depending on the time from menopause. Materials and Methods: The study involved 252 postmenopausal women grouped according to the time from last menstruation: one to five years (group A), five to ten years (group B), and > ten years (group C). All women were ovariectomized during laparotomy performed for benign diseases of the uterus. Climacteric symptoms were measured with the Kupperman Index one day before and three months after surgery. Results: Highly significant age differences and no substantial BMI differences were demonstrated among the study groups. Before and after surgery climacteric symptoms were reported by 17.06% and 57.8% of women, respectively. After surgery, group A women significantly more often had hot flushes, sweating, nervousness, and sleep disorders, the women in group B significantly more often reported sleep disorders, nervousness, and sweating, and the women in group C significantly more often complained of nervousness. Conclusion: In postmenopausal women, ovaries play the most important role during the first ten years from the last menstruation.

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