SciELO - Scientific Electronic Library Online

 
vol.50 issue3(Emergent infectious diseases: interaction between the microbial world and human societies) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • Have no similar articlesSimilars in SciELO

Share


Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012

Abstract

LEONARDO, Orozco-Saborío. Profilactic bilateral ooforectomy during elective hysterectomy. Acta méd. costarric [online]. 2008, vol.50, n.3, pp.131-135. ISSN 0001-6002.

The term prophylactic oophorectomy implies that the ovaries are normal at the time of their surgical removal and that it is performed for possible future benefits, such as prevention of ovarian cancer or to avoid eventual gynecological surgical interventions. However, it has been suggested that the production of androgens in the ovaries in perimenopausal women has an important rol in the quality of life and sexual well being. Bilateral oophorectomy has also been related with an increased risk of cardiovascular disease and mortality in women that did not use hormonal replacement therapy. Until more research of better methodological quality becomes available, prophylactic oophorectomy at the time of an elective hysterectomy in ovarian cancer low risk women should be approached with great caution. The poor and limited evidence suggests that the decision to perform or not a prophylactic bilateral oophorectomy at the time of an elective hysterectomy, is mostly opinion-based than evidence-based, and it does not justify the elevated number of prophylactic oophorectomies seen in current clinical practice.

Keywords : Ovariectomy; prophylactic oophorectomy; hysterectomy; hormone replacement therapy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License