Complications may arise during the procedure or due to removal of the ovaries. Oophorectomy is a relatively safe operation, although, like all major surgery, it does carry some risks. These may be related to the procedure itself or due to anesthesia.
Removing both ovaries increases the risk of heart disease and osteoporosis; taking hormone replacement therapy can help reduce this risk
Women with a history of psychological and emotional problems before an oophorectomy are more likely to experience psychological difficulties after the operation.
Women report less pain after a laparoscopic procedure than the abdominal incision procedure.
After surgery a woman may feel some discomfort. The degree of discomfort varies and is generally greatest with abdominal incisions, because the abdominal muscles must be stretched out of the way so that the surgeon can reach the ovaries.Post-operative Care
: Some of the post operative measures include-
Antibiotics are sometimes given to reduce the risk of post-surgical infection.
If both ovaries are removed, the woman immediately goes into menopause. If there is no evidence of breast cancer, the doctor will prescribe hormone replacement therapy (HRT), either estrogen alone or with progesterone, to help manage the symptoms of menopause.
Return to normal activities, such as driving and working, takes from 2-6 weeks, depending on the type of surgery you had.
Some women experience emotional distress following the removal of their ovaries and benefit from counseling and may need some sort of hormone replacement therapy.
Average hospital stay for the abdominal Oophorectomy is three to five days and for the laparoscopic procedure one to two days. A woman will need three to six weeks to return to normal activities after an Abdominal Oophorectomy.Contact Your Doctor If Any of the Following symptoms occur after you are discharged home
Signs of infection, including fever and chills
Persistent or increased vaginal bleeding or discharge
Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
Cough, shortness of breath, chest pain, severe nausea or vomiting Beyond Ovaries Removal
The outcome of an oophorectomy depends on the indication for surgery, the medical condition of the patient and the operating surgeon.
Oophorectomy is indicated for ovarian disease conditions and other systemic diseases like breast cancer. Removing the ovaries will not eliminate the cancer if it has already spread to other organs. Patients with ovarian cancer, therefore, routinely receive other forms of treatment like chemotherapy and/or radiation in addition to Oophorectomy.
Oophorectomy when performed for early ovarian cancers improves the prognosis and survival rates.
Endometriosis can be successfully treated with an Oophorectomy, although it often requires identification and treatment of other endometrial areas outside of the ovaries at the time of surgery. If both of the ovaries are removed, the women will no longer menstruate and will no longer be able to become pregnant. If one ovary or even just a portion of an ovary remains, she may still menstruate and may be able to become pregnant.Oophorectomy - FAQ's
1. Who performs a Oophorectomy ?
A gynecologist performs Oophorectomy. 2. Why are the ovaries removed in women above 40 years who are under going hysterectomy operation?
Some physicians until the 1980's reasoned that a woman over 40 was approaching menopause would soon stop secreting estrogen and releasing eggs from the ovaries. Removing the ovaries would accelerate menopause by a few years however it would give them the advantage of reducing risks of cancers.3. What are the affects of ovaries removal on the Body?
The current thinking towards preserving ovaries is increasing as the risks of ovarian cancer in women who have no family history of the disease is less than 1%.
Removing the ovaries increases the risk of cardiovascular disease and accelerates osteoporosis unless a woman takes prescribed hormone replacements. Hence there is no place for subjecting women to unnecessary removal of ovaries unless there is a surgical indication for the same 4. When is a prophylactic or preventive Oophorectomy done?
Genetic mutation of the two genes called BRCA1 or BRCA2 genes - are linked to breast cancer, ovarian cancer and some other cancers. In woman with strong family history of ovarian or breast cancers, preventive oophorectomy is sometimes recommended for those who are over 35 to 40 years and who have a completed their families.
The lifetime risk for developing ovarian cancer in women who have mutations in (genes) BRCA1 is 30% by age 60. 5. Can a woman conceive if one ovary is removed?
Yes she can conceive. As she will continue to produce eggs from the other ovaryOophorectomy - Glossary
- An abnormal sac containing fluid or semi-solid material. Endometriosis
- A benign condition that occurs when cells from the lining of the uterus begin growing outside the uterus. Fallopian tubes
- Slender tubes that carry ova from the ovaries to the uterus. Hysterectomy
-Surgical removal of the uterus. Osteoporosis
- The excessive loss of calcium from the bones, causing the bones to become fragile and break easily. Tuboovarian abscess
- Infection of the ovary and tubes.Haemostasis
- The process whereby bleeding is halted.Menopause
- The natural cessation of menstruation occurring usually between the age of 45 and 55 years.Ovaries
- A pair of female reproductive glands in which the ova, or eggs, are formed. The ovaries are located in the pelvis, one on each side of the uterus and are the size of an almond.Salpingo
-oophorectomy- Surgical removal of the fallopian tubes and ovaries.Oophorectomy - References
: Dr. Paderla Anitha
: Dr. Sunil Shroff