Ovarian Conservation at Hysterectomy: Are We Making Progress?

More education is needed about the benefits of retaining the ovaries in women at average risk for ovarian cancer.

In 2008, the American College of Obstetricians and Gynecologists issued guidance discouraging routine oophorectomy at the time of hysterectomy for benign disease in premenopausal women (Obstet Gynecol 2008; 111:231). In 2012, investigators surveyed 1002 randomly selected obstetrician-gynecologists (response rate, 44%) about their views and practices regarding elective bilateral oophorectomy (BO) at hysterectomy.

Proportions of respondents who indicated that elective BO was appropriate for women at average risk for ovarian cancer varied with the women's age (63% for women aged 51–65, 32% for women younger than 51, and 4% for women aged 41–45). Recommendations did not vary by respondents' age, sex, geographic region, or number of hysterectomie…

Reviewing Author

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Andrew M. Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health

Ovarian Conservation at Hysterectomy: Are We Making Progress?

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Reviewing Author