Hysterectomy with Preservation of both Ovaries does not Result in Premature Ovarian Failure

This study investigated ovarian function and adnexial pathology following total abdominal hysterectomy with preservation of both ovaries compared with that in a control group. Data from 29 patients who had undergone total abdominal hysterectomy at age ≤ 40 years and 42 menopausal patients with no pr...

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Bibliographic Details
Published in:Journal of international medical research 2007-05, Vol.35 (3), p.416-421
Main Authors: Atay, V, Ceyhan, T, Baser, İ, Gungor, S, Goktolga, Ü, Muhcu, M
Format: Article
Language:English
Subjects:
Adult
Female
Follow-Up Studies
Humans
Hysterectomy
Menopause
Middle Aged
Ovary - physiology
Primary Ovarian Insufficiency - etiology
Retrospective Studies
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Summary:This study investigated ovarian function and adnexial pathology following total abdominal hysterectomy with preservation of both ovaries compared with that in a control group. Data from 29 patients who had undergone total abdominal hysterectomy at age ≤ 40 years and 42 menopausal patients with no previous ovarian pathology were evaluated retrospectively. The mean (± SD) age of menopause was 49.7 ± 1.5 years in the total abdominal hysterectomy group and 50.1 ± 1.3 years in the control group; this difference was not statistically significant. The incidences of cyst and hydrosalpinx were 31% and 6.9%, respectively, in the total abdominal hysterectomy group and 44.8% and 0%, respectively, in the control group. The increased incidence of cysts in the total abdominal hysterectomy group was statistically significant. In conclusion, patients who undergo total abdominal hysterectomy without oophorectomy do not experience premature menopause. Preservation of the ovaries may avoid the disadvantages of hormone replacement therapy at the expense of a higher risk of developing adnexial pathology.
ISSN:0300-0605
1473-2300
DOI:10.1177/147323000703500317