Abstrakt

Evaluation of Women Following Hysterectomy with and without Conservation of Ovaries

Ramprasad Dey, Subhash Chandra Biswas, Ranu Roy Biswas and Arunima Mukhopadhyay

The onset and nature of different postmenopausal symptoms and hormonal status in women following hysterectomy with and without conservation of ovaries has been studied. Forty patients aged 35-50 years, who had undergone hysterectomy (abdominal or vaginal) for benign indications, within last five years were selected. 20 patients had undergone hysterectomy with bilateral salpingo-oophorectomy (BSO) and the rest 50% had undergone hysterectomy with conservation of both ovaries. These two groups of women were followed up by clinical symptoms (vasomotor, urogenital, psychological), hormonal evaluation (serum FSH, LH and estradiol) and measurement of bone density. 50% of the patients became symptomatic (vasomotor) within one year following hysterectomy with BSO whereas 40% within there to five years in the ovarian conservation group. Psychological symptoms developed in 25% cases in hysterectomy with BSO group and 20% cases in ovarian conservation group but genitourinary symptoms developed in 25% cases in both the groups. There was acute rise of both FSH and LH in hysterectomy with BSO group within one year of operation but in ovarian conservation group, FSH and LH started to rise after one year of operation. It was reverse in case of estradiol. Bone densitometry showed osteoporosis in 30% hysterectomised women with BSO whereas in 25% of women in ovarian conservation group. From the present study, it is clearly evident that most of the menopausal symptoms and hormonal changes developed earlier in hysterectomy with BSO group but gradually the scenario become almost same in both the groups of hysterectomy within there to five years of operation. So basically the clinical, metabolic and hormonal milieu assume the same status in both the groups within three to five years of operation.