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Review
. 2023 Aug 1;35(4):344-351.
doi: 10.1097/GCO.0000000000000885. Epub 2023 May 26.

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

Hilary R Haber  1 , Hannah M French, Peter R Movilla, Keith B Isaacson, Stephanie N Morris
Affiliations
Review

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

Hilary R Haber et al. Curr Opin Obstet Gynecol. .

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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References

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    1. Mikhail E, Salemi JL, Mogos MF, et al. National trends of adnexal surgeries at the time of hysterectomy for benign indication, United States, 1998–2011. Am J Obstet Gynecol 2015; 213: 713.e1-13.
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