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(Elsevier Fitness Sciences) Removal of the ovaries (bilateral oophorectomy) while performing a hysterectomy is familiar procedure to hamper the future increment of ovarian cancer. This prophylactic move along is performed in 55 percent of all US women having a hysterectomy, or roughly 300,000 times each year. An article in the March/April proclaim of t

Philadelphia, PA, Stride 9, 2010 - Eradication of the ovaries (bilateral oophorectomy) while performing a hysterectomy is average practice to prevent the next progress of ovarian cancer. This prophylactic mode is performed in 55% of all U.S. women having a hysterectomy, or close to 300,000 times each year. An article in the March/April put of The Magazine of Minimally Invasive Gynecology suggests that this procedure may do more hurt than actual.

William H. Parker, MD, John Wayne Cancer Alliance at Saint John's Strength Center, Santa Monica, CA, provides a exhaustive investigation of the medical literature relating to the better of oophorectomy at the time of hysterectomy. His study includes studies of post-hysterectomy cancer incidence, all create mortality, cardiovascular disease, osteoporosis and hip fractures, coronary artery disease, and a number of other conditions. He concludes that, on balance, ouster of the ovaries is not on average warranted for all women undergoing hysterectomy. In women not at lofty hazard for situation of ovarian or boob cancer, removing the ovaries at the previously of hysterectomy should be approached with tip off.

Dr. Parker states, "Presently, observational studies hint at that bilateral oophorectomy may do more harm than decorous. Given that 300 000 U.S. women a year submit to elective oophorectomy, the findings of increased long-term risks contain egotistical plain vigorousness implications?Prudence suggests that a complex informed allow prepare covering the risks and benefits of oophorectomy and ovarian upkeep should be conducted with women Janus-faced with this haughty settling."

Premenopausal oophorectomy causes a fast shrink in circulating ovarian estrogens and androgens. Postmenopausal ovaries pick up to beget critical amounts of the androgens testosterone and androstenedione, which are converted to estrogen. Estrogen deficiency has been associated with higher risks of coronary artery virus and hip fracture, and neurologic conditions. Although roughly 15,000 U.S. women die each year of ovarian cancer, 350,000 women die of coronary artery disease. Therefore reducing a woman's risk of ovarian cancer with oophorectomy may be outweighed by increased risks of coronary artery illness and neurologic conditions.

In an accompanying editorial, G. David Adamson, MD, FRCSC, FACOG, FACS, Superintendent of Fertility Physicians of Northern California, Palo Alto and San Jose, CA, and past-president of both the American Sisterhood for Reproductive Medicine and the American Association of Gynecologic Laparoscopists, comments, "Dr. Parker has performed a valuable aid to his compeer gynecologists and to women throughout who have on the agenda c trick to cut d understand the obscure conclusion heedless of ovarian conservation or removal at the organize of hysterectomy. Oophorectomy is not certainly the fiendish decision for numberless women, but assessment of these text leads to the conclusion that more women are undergoing oophorectomy than should."

The article is "Bilateral Oophorectomy versus Ovarian Conservation: Effects on Long-term Women's Health" by William H. Parker, MD. The think-piece is "Ovarian Conservation" by G. David Adamson, MD. Both occur in the Journal of Minimally Invasive Gynecology, Volume 17, Slues 2 (March/April 2010) published by Elsevier.

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