The ovaries have a significant role in endocrine function not only during the reproductive years and perimenopause but also in the postmenopausal stage. The question as to whether normal ovaries should be removed or preserved during abdominal hysterectomy in pre-menopausal women has not yet been resolved. There is no consensus concerning the removal or conservation of the ovaries, nor whether there should be a cut-off age. The main problem associated with conservation of the ovaries is that ovarian cancer may subsequently develop. However, cessation of ovarian function is associated with an increased risk of osteoporosis and coronary artery disease. Other complaints, which are associated with lack of estrogen production, include vasomotor hot flushes, urogenital, anal or sexual dysfunction, and emotional disturbances.
AIM OF THE WORK:
was to compare residual ovarian function after abdominal hysterectomy with preservation of one or both ovaries.
PATIENTS AND METHODS:
PATIENTS: This is a prospective study which was conducted on 70 patients undergoing abdominal hysterectomy.