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 Heart/Bone Risks vs Cancer Risk |
From the Ask a Doctor - Hysterectomy Related Questions Articles List |
 Related Titles
HPV and Cancer Risk
WHI Substudy finds Hormone Therapy May Lower Heart Attack Risk in Certain Women
Regular Exercise, Keeping Weight In Check Reduces Breast-cancer Risk
Excess pounds may raise ovarian cancer risk
Assessing and Minimizing the Risk of Breast Cancer
HysterSisters Articles
Options to Hysterectomy
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Post-Op Hysterectomy
Hormone and Menopause
Intimacy after Hysterectomy
Pelvic Floor
Fitness after Hysterectomy
GYN Cancer
Grief and Loss
Endometriosis
Uterine Fibroids
Hysterectomy Stories
Ask A Doctor
I have a planned hysterectomy with bilateral salpingo oophorectomy due to complex endometrial hyperplasia with atypia. I am 49. Removal of ovaries is standard treatment, but I am wondering if true risk of cancer is less than risk of heart disease/bone loss from loss of ovaries/estrogen & other hormones.
Reply by: Susan Hunter, MD
1. CANCER. No further explanation needed for this.
2. The average age of menopause (defined as no periods for a year) is 51 years. That means it is around the corner for you if you keep your ovaries. After menopause the ovaries do secrete small amounts of hormones, and there is a little information that preserving them may add a few months (only) to your life. Around and after menopause you will lose estrogen with or without the ovaries and will need to be doing the usual things to preserve bone mass with or without them.
3. There is no evidence that retaining ovaries after menopause improves the risk of heart attack or stroke.
4. If you are overweight or obese this would be your number one risk factor for a heart attack or stroke, along with diabetes, hypertension, joint problems, and several types of cancer including endometrial (which you almost have), colon and breast cancer. Obesity can take 20 YEARS off your life. Any benefit from retaining ovaries would be lost due to this HUGE health risk.
5. If you do not have cancer found after your surgery you could be a candidate for estrogen replacement therapy which will help with bone loss and is not a serious risk for breast cancer (the risk is mostly if you need progesterone to go with the estrogen as women who have a uterus do).
Good luck with your surgery and I wish you a long and healthy life.
The responses in the "Ask a Doctor" articles are provided by M.D./Surgeons with credentials in their linked profiles. The HysterSisters.com staff thanks the doctors for their participation and reminds all readers to discuss their medical concerns with their personal physicians for specific information about their health choices, as this is in no way intended to take the place of members consulting with their own physicians.
Related Titles
HPV and Cancer Risk
WHI Substudy finds Hormone Therapy May Lower Heart Attack Risk in Certain Women
Regular Exercise, Keeping Weight In Check Reduces Breast-cancer Risk
Excess pounds may raise ovarian cancer risk
Assessing and Minimizing the Risk of Breast Cancer
Recommended for Hysterectomy Recovery
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Hysterectomy Checkpoints
Hysterectomy News May 24,2013
