Elective oophorectomy for benign gynecological disorders

@article{Shoupe2007ElectiveOF,
  title={Elective oophorectomy for benign gynecological disorders},
  author={Donna Shoupe and William H. Parker and Michael S. Broder and Zhimei Liu and Cynthia M Farquhar and Jonathan S Berek},
  journal={Menopause},
  year={2007},
  volume={14},
  pages={580-585}
}
Objective: To review the risks and benefits of elective oophorectomy and to make a clinical recommendation for an appropriate age when benefits of this procedure outweigh the risks. Design: The risks and benefits of oophorectomy as detailed in published articles are reviewed with regard to quality-of-life issues and mortality outcomes in oophorectomized versus nonoophorectomized women from five diseases linked to ovarian hormones (coronary heart disease, ovarian cancer, breast cancer, stroke… Expand
Prophylactic oophorectomy in premenopausal women and long-term health
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The potential adverse effects of prophylactic bilateral oophorectomy on heart health, neurological health, bone health and quality of life should be carefully weighed against its potential benefits for cancer risk reduction in women at average risk of ovarian cancer. Expand
Prophylactic bilateral oophorectomy jeopardizes long-term health
TLDR
For premenopausal women who are not at markedly increased risk for ovarian or breast cancer, prophylactic oophorectomy should be discouraged (FIGURE). Expand
Salpingectomy as a Means to Reduce Ovarian Cancer Risk
TLDR
The rationale for salpingectomy as an ovarian cancer risk reduction strategy is provided and it is postulated that bilateral salpedectomy with ovarian retention (BSOR), may have a public health benefit for women undergoing benign gynecologic surgery. Expand
Ovarian Conservation Versus Removal at the Time of Hysterectomy for Benign Gynecological Diseases
TLDR
The purpose of this review article is to summarize and critically evaluate the existing evidences regarding the impact of ovarian conservation versus removal on specific health issues of the individual. Expand
Pre-diagnosis oophorectomy, estrogen therapy and mortality in a cohort of women diagnosed with breast cancer
TLDR
Information on prior TAHBSO and estrogen use can inform risk of death from both breast cancer and cardiovascular disease among breast cancer survivors. Expand
Bilateral oophorectomy in relation to risk of postmenopausal breast cancer: confounding by nonmalignant indications for surgery?
TLDR
Results indicate that breast cancer risk reductions conferred by bilateral oophorectomy are not strongly confounded by failure to account for nonmalignant indications for surgery. Expand
Bilateral oophorectomy is not associated with increased mortality: the California Teachers Study.
TLDR
Surgical menopause due to bilateral oophorectomy vs. naturalMenopause does not increase all-cause, cardiovascular, or cancer mortality, overall and by menopausal hormone therapy use status. Expand
Potential adverse effects of prophylactic bilateral salpingo-oophorectomy on skin aging in premenopausal women undergoing hysterectomy for benign conditions
TLDR
Prophylactic BSO in the presence of dermatological conditions is a significant independent risk factor for worsening skin laxity/sagging and texture/dryness in premenopausal women undergoing hysterectomy for benign conditions. Expand
Hysterectomy and concurrent oophorectomy for endometrial cancer: which women benefit?
TLDR
The risks and benefits of oophorectomy, as well as the literature concerning oophOREctomy in young women with endometrial cancer, are presented. Expand
Increased cardiovascular mortality after early bilateral oophorectomy
TLDR
Bilateral oophorectomy performed before age 45 years is associated with increased cardiovascular mortality, especially with cardiac mortality, however, estrogen treatment may reduce this risk. Expand
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