Increasing concerns regarding potentially harmful long-term effects of premenopausal bilateral oophorectomy (PBO) have caused a decline in the number of women choosing to proactively remove both ovaries as a precaution to protect against ovarian cancer.
Reviewed by Danielle Ellis, B.Sc.Sep 13 2023 A new study identified specific chronic medical conditions, such as asthma and arthritis, associated with the procedure. Results of the study are published online today in Menopause, the journal of The Menopause Society.
In addition to their reproductive function, the ovaries also affect multiple organs and systems throughout the body. Because they secrete hormones both before and after menopause, the removal of the ovaries can cause an endocrine disruption to multiple tissues and organs, including the brain, muscles, bone, blood vessels, heart, and the gastrointestinal tract. Some prior research also has suggested that there could be an association with cardiovascular disease, cognitive impairment, or dementia.
Compared with the women who had not had PBO, those who underwent the procedure when they were aged younger than 46 years had increased risk of arthritis, asthma, obstructive sleep apnea, and bone fractures. They also walked a shorter distance during a 6-minute walk. Women with a history of PBO when aged 46 to 49 years had increased risk of arthritis and obstructive sleep apnea. No significant differences in cognitive status were identified between the two groups of women.
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