Removing organs "just in case"--is prophylactic removal of the ovaries a good thing?

Clarke, Aileen; Chang, Yu Mei; McPherson, Klim

doi:10.1136/jech.2005.035170

Cited by 9 publications

(5 citation statements)

References 25 publications

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“…La ooforectomía profiláctica practicada junto a la HT ha sido definida como un problema de salud pública (1), y la decisión de realizarla debe ser enfrentada con precaución en el caso de las mujeres con bajo riesgo de cáncer de ovario (1,4). Por lo anteriormente expuesto no se debería considerar sólo la edad de la mujer al momento de decidir dicha cirugía (4,5), sino que también es necesario valorar el riesgo individual de la mujer para desarrollar un cáncer de ovario (4), así como los riesgos inherentes que la cirugía conlleva (1,4,13,14,18,31,37,38) por la disminución hormonal que provoca sumado a la mayor expectativa de vida que las mujeres tienen actualmente.…”

Section: Discussionunclassified

“…La ooforectomía bilateral, practicada al momento de la histerectomía (HT), es comprendida rutinariamente como una medida profiláctica para cáncer de ovario en mujeres con riesgo genético desconocido (1-3) convirtiéndose en el órgano sano más frecuentemente extraído (1)(2). Dicha decisión se ve además respaldada en la idea que los ovarios son considerados poco importantes para la mujer una vez finalizada su vida reproductiva (1). La extracción de ovarios profilácticamente comienza en la década de los años 30 (2), alcanzando en la actualidad el 40-55% de los casos de HT (4)(5)(6).…”

Section: Introductionunclassified

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Sexualidad e histerectomía: diferencias entre un grupo de mujeres con y sin ooforectomía

2011

Rev. chil. obstet. ginecol.

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Section: Discussionunclassified

Section: Introductionunclassified

Sexualidad e histerectomía: diferencias entre un grupo de mujeres con y sin ooforectomía

2011

Rev. chil. obstet. ginecol.

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“…Advances in predictive testing have enabled scanning and elimination of embryos carrying ‘gene disorders’ prior to implantation ( Verlinsky, 2005 , p. 24), and contributed to increased use of surgeries to prophylactically remove tissues or organs, such as breasts, ovaries, thyroid or the colon in individuals at high risk for genetically linked diseases ( You et al , 2007 ). Aside from the ethical concerns, health professionals also cite issues about their negative impact on health, such as the elevated risk of cardiovascular disease and osteoporosis among women who have had their ovaries removed ( Clarke et al , 2006 ).…”

Section: The Rise and Rise Of Biomedical Sciencementioning

confidence: 99%

After the Biomedical Technology Revolution: Where to Now for a Bio-Psycho-Social Approach to Social Work?

Healy

2015

Br J Soc Work

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In the late twentieth century, the bio-psycho-social framework emerged as a powerful influence on the conceptualisation and delivery of health and rehabilitation services including social work services in these fields. The bio-psycho-social framework is built on a systems view of health and well-being ( Garland and Howard, 2009). The systems perspective encourages medical and allied health professions, including social work, to recognise and to respond to the multiple systems impacting on individual health and well-being ( Engel, 2003). This paper analyses how advances in biomedical technology, particularly in the fields of neuroscience and human genomics, are challenging the bio-psycho-social approach to practice. The paper examines the pressures on the social work profession to embrace biomedical science and points to the problems in doing so. The conclusion points to some tentative ways forward for social workers to engage critically with biomedical advances and to strengthen the bio-psycho-social framework in the interests of holistic and ethical approaches to social work practice.

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“…Bilateral salpingo‐oophorectomy (BO), the surgical removal of both ovaries and fallopian tubes, is undertaken as a prophylactic procedure, and it is often accompanied by hysterectomy (Parker et al, 2009 ). In 2003, around 19,000 women aged less than 60 years underwent BO in the United Kingdom (Clarke et al, 2006 ).…”

Section: Introductionmentioning

confidence: 99%

Previous pregnancies might mitigate cortical brain differences associated with surgical menopause

Fernández‐Pena,

Navas‐Sánchez,

de Blas

et al. 2023

Human Brain Mapping

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Surgical menopause causes a sharp drop in estrogen levels in middle‐aged women, thus preventing the gradual physiological adaptation that is characteristic of the perimenopause. Previous studies suggest that surgical menopause might increase the risk of dementia later in life. In addition, the transition to motherhood entails long‐lasting endocrine and neuronal adaptations. We compared differences in whole‐brain cortical volume between women who reached menopause by surgery and a group of women who reached spontaneous non‐surgical menopause and determined whether these cortical differences were influenced by previous childbearing. Using surface‐based neuroimaging techniques, we investigated cortical volume differences in 201 middle‐aged women (134 women who experienced non‐surgical menopause, 78 of whom were parous women; and 67 women who experienced surgical menopause, 39 of whom were parous women). We found significant atrophy in the frontal and temporal regions in women who experienced surgical menopause. Nulliparous women with surgical menopause showed significant lower cortical volume in the left temporal gyrus extending to the medial temporal lobe cortex, as well as in the precuneus bilaterally compared to parous women with surgical menopause; whereas our results revealed no significant differences between parous women with surgical menopause and both parous and nulliparous women who reached a non‐surgical menopause. Furthermore, in the surgical menopause group, we found a negative correlation between cortical volume and age at first pregnancy in the temporal lobe. Our study suggests that the long‐term brain remodeling of parity may mitigate the neural impact of the sudden drop in estrogen levels that characterizes surgical menopause.

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Removing organs "just in case"--is prophylactic removal of the ovaries a good thing?

Abstract: This papers highlights the issues and illustrates a research agenda for trying to disentangle the problems of the continuing use of an untested technbology-prophylactic oophorectomy-at the time of hysterectomy.

Cited by 9 publications

References 25 publications

Sexualidad e histerectomía: diferencias entre un grupo de mujeres con y sin ooforectomía

Sexualidad e histerectomía: diferencias entre un grupo de mujeres con y sin ooforectomía

After the Biomedical Technology Revolution: Where to Now for a Bio-Psycho-Social Approach to Social Work?

Previous pregnancies might mitigate cortical brain differences associated with surgical menopause

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