Open AccessShould we recommend hysterectomy more often to premenopausal and climacteric women?
Author(s) -
QVIGSTAD ERIK,
LANGEBREKKE ANTON
Publication year - 2011
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2011.01193.x
Subject(s) - medicine , climacteric , hysterectomy , menopause , endometrial cancer , surgical menopause , gynecology , malignancy , hormone replacement therapy (female to male) , obstetrics , postmenopausal women , uterus , general surgery , cancer , surgery , testosterone (patch)
In developed countries, women live on average over 30 years as postmenopausal. In the premenopausal and climacteric period, abnormal uterine bleeding and other symptoms may occur. In addition, endometrial cancer is the most common gynecological malignancy, and possible hormone replacement therapy is much more beneficial among women with prior hysterectomy. With this background and the recommended use of minimally invasive surgical techniques, we argue in favor of more liberal hysterectomy practice before and around the menopause. Many will disagree, because for many years we have argued to save the uterus, but considering pros and cons with the patient in focus, we discuss the topic and advertise for studies to support our view.