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From the Separate Surgeries Articles List
What do I need to know about an oophorectomy?
An oophorectomy is the surgical removal of an ovary. When one ovary is removed, it is referred to as a unilateral oophorectomy; when both are removed, it is called a bilateral oophorectomy. A salpingectomy
(removal of the fallopian tubes
) and/or hysterectomy can be done along with an oophorectomy, or the surgery can be done separately.
Similar to a hysterectomy, an oophorectomy can be done using several different methods in a surgical center under anesthesia
. A laparotomy
is the most invasive option and involves a single, larger incision in the lower abdomen. For this type of oophorectomy, the hospital stay and recovery will be longer, there can be more post-operative pain, and the scar will be more significant. Recovery and restrictions may last as long as 6 weeks.
Minimally invasive options
, such as a laparoscopy
, may use a single belly button incision or a few small incisions in the abdomen area, which can minimize scarring, decrease pain, and shorten recovery. This type of surgery may also be done on an outpatient basis so that no overnight hospital stay is required. Recovery can be between 2–4 weeks.
General risks for an oophorectomy include infection, bleeding, nicking nearby organs, and small bowel obstruction. In addition, if ovarian cells are missed ovarian remnant syndrome (ORS)
can occur, which can lead to continue ovarian issues and even ovarian cysts
. As with any surgery, there can also be anesthesia or medication reactions.
An oophorectomy may be done for benign conditions, malignancy, or prophylactically when there is a specific higher risk of cancer. As new research is indicating that ovarian cancer may begin in the fallopian tubes
, some women and their medical professionals may decide a prophylactic salpingectomy
rather than a prophylactic oophorectomy
is the right choice. More research is needed, however, to determine if this should be a universal recommendation.
The ovaries produce estrogen and progesterone, so removal of both ovaries causes surgical menopause
for women. Health risks
involved with losing those hormones include vaginal dryness, heart disease, osteoporosis, and premature death. Depression, mental issues, and decreased libido may also occur, along with hot flashes, night sweats, and fatigue. In some cases hormone replacement therapy (HRT)
may be an option and could minimize symptoms, but HRT is not right for everyone and comes with some pros and cons, too.
If an oophorectomy has been recommended for you, consider seeking a second opinion
before scheduling surgery to help you determine if this surgery is right for you. You’ll also want to weigh all the pros and cons and consider the long-term hormonal implications before making any final decisions.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.
07-22-2014 - 04:26 PM
SHARING IS CARING
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