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Hysterectomy May Have Long-Term Health Risks

WEDNESDAY, Jan. three, 2018 (HealthDay News) — Women who bear a hysterectomy are at higher danger for coronary heart illness and different health issues — even when they hold their ovaries, new analysis suggests.

“Hysterectomy is the second most common gynecologic surgery, and most are done for benign reasons, because most physicians believe that this surgery has minimal long-term risks,” stated lead researcher Dr. Shannon Laughlin-Tommaso, of the Mayo Clinic in Rochester, Minn.

“With the results of this study, we encourage people to consider nonsurgical alternative therapies for fibroids, endometriosis and prolapse, which are leading causes of hysterectomy,” she stated.

The research tracked the health of almost 2,100 women who underwent a hysterectomy, and a matched set of “controls” who hadn’t undergone the process. The hysterectomies have been carried out between 1980 and 2002, and in all instances the ovaries weren’t eliminated.

Because it was retrospective in nature, the research might solely level to associations; it couldn’t show cause-and-effect.

However, the Mayo group reported that — in comparison with women who hadn’t had a hysterectomy — women who had the process skilled a mean 14 % greater danger of irregular blood fats ranges; a 13 % larger danger for hypertension; an 18 % greater danger for weight problems and a 33 % larger danger for coronary heart illness.

Long-term health issues related to hysterectomy have been particularly pronounced for youthful women. The research discovered that women youthful than 35 had a four.6-fold greater danger of congestive coronary heart failure and a 2.5-fold larger danger of coronary artery illness, or a buildup of plaque within the arteries.

“This is the best data to date that shows women undergoing hysterectomy have a risk of long-term disease — even when both ovaries are conserved,” Laughlin-Tommaso stated in a Mayo information launch. “While women are increasingly aware that removing their ovaries poses health risks, this study suggests hysterectomy alone has risks, especially for women who undergo hysterectomy prior to age 35.”

A gynecologist who reviewed the findings confused that for a lot of women, there are options to hysterectomy.

“Some of the most common reasons women have for hysterectomy are bleeding and fibroids,” stated Dr. Jennifer Wu, an obstetrician-gynecologist at Lenox Hill Hospital in New York City.

She stated that, “with many more treatment options such as endometrial ablation and uterine fibroids embolization, hysterectomy is becoming a last resort treatment for premenopausal women.”

But one other gynecologist stated it might be too early for women to forego hysterectomy if it is deemed mandatory.

Dr. Adi Davidov directs gynecology at Staten Island University Hospital in New York City. He harassed that the Mayo research was solely utilizing retrospective knowledge, so it could not show that elements aside from hysterectomy have been inflicting the women’s health issues.

“I would urge patients to take these conclusions with a grain of salt,” he stated. “It is important to note that this recent study is not a randomized experimental trial.”

Davidov additionally famous that, normally, “women that require hysterectomy are inherently sicker and are at increased risk of many diseases.”

His recommendation? “Women should not cancel their scheduled hysterectomies based on this study,” Davidov stated. “However, before any women undergoes a hysterectomy, she should make sure that all other non-surgical options have been explored. Surgery should always be the solution of last resort.”

The findings have been revealed Jan. three within the journal Menopause.

More info

There’s extra on hysterectomy at

— Mary Elizabeth Dallas

SOURCES: Jennifer Wu, M.D., obstetrician/gynecologst, Lenox Hill Hospital, New York City; Adi Davidov, M.D., director, gynecology and robotic surgical procedure, Staten Island University Hospital, New York City; Mayo Clinic, information launch, Jan. three, 2018

Copyright © 2018 HealthDay. All rights reserved.

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