Take it or leave it: oophorectomy at the time of benign hysterectomy

Hilary Haber, Hilary R Haber, Hannah M French, Hannah French, Peter Movilla, Peter R Movilla, Keith Isaacson, Keith B Isaacson, Stephanie Morris, Stephanie N Morris
Current opinion in obstetrics & gynecology · 2023 · vol. 35(4) , pp. 344–351 · doi:10.1097/gco.0000000000000885 · PMID:37266568 · W4379094223
Review OA: closed CC0 ⤵ 1 in-corpus citation
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Oophorectomy at the time of hysterectomy for women under 50 with estrogen supplementation or over 50 without it is not linked to increased mortality.

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Abstract

PURPOSE OF REVIEW: Previous modeling data suggest ovarian conservation up to age 65 for women without adnexal disease and at average risk of ovarian cancer because of an increase in mortality associated with ovarian removal. Recent modeling data challenges this practice. This review of recent literature will update providers regarding consideration for oophorectomy at time of benign hysterectomy. RECENT FINDINGS: Oophorectomy at time of hysterectomy for women less than 50 years with estrogen supplementation and greater than 50 years without estrogen supplementation is not associated with increased mortality. SUMMARY: Although not associated with increased mortality, the decision to remove the ovaries at time of hysterectomy in women older than 50 years is nuanced and requires careful shared decision-making, considering unique patient factors.

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MeSH descriptors

Hysterectomy Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Aged Estrogens Female Humans Ovariectomy

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openalex
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License: CC0 · commercial use OK