Study of ovarian function after hysterectomy
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Introduction: Hysterectomy is one of the commonest operations performed in the world being second most common surgery in India in reproductive age group. The important concern is impact of hysterectomy on ovarian function and particularly whether loss of ovarian function is associated with long term health risks, including heart disease and osteoporosis.1,2 Cardiovascular disease is major cause of death in women and given a widespread use of hysterectomy in premenopausal women, this could be a major health concern.3 The aim of the study is to determine influence of hysterectomy on ovarian function by measuring gonadotropin levels and studying ovarian Doppler in two years period. We also studied bone mineral density preoperatively and postoperatively. Results: The mean age of patients undergoing hystertecomy was 40.1 yr and control was 38.1 with no significant difference. The majority of patients in both groups were multiparous 39(86.8%), 37(82.3%) cases and controls respectively. The commonest indication of hysterectomy was fibroid (52%) second being prolapse (32%) We had significant results for symptoms of ovarian hypofunction after hysterectomy. The patients developed symptoms of ovarian hypofunction such as hot flushes mood disturbances. One patient had myocardial infarction and significant number of patients 32% developed osteoporosis after one year. There was 6 times rise in FSH levels than preop in cases as compared to controls. The ovarian failure could be demonstrated by rise in PI value of Ovarian artery. Conclusion: The medical consequences associated with ovarian failure are myriad and include higher risk for overall mortality, cardiovascular disease, diabetes, osteoarthritis, certain forms of cancer and depression. During hysterectomy it is advisable not to compromise ovarian blood supply as much as possible Preoperative evaluation, Decision of real need of surgery, regular followup and careful monitoring can help to tackle the problem.
Authors and Affiliations
Jyoti Vikas Rokade, Vikas Raghunath Rokade
Keywords
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