The surgical menopause. (May 2022)

• Record Type: Journal Article
• Authors: C. Pillay, Ouma; Manyonda, Isaac
• Is Part Of: Best practice & research. Volume 81(2022)
• Page Start: 111
• Page End: 118
• Publication Date: 2022-05
• Subjects: Surgical -- Menopause -- Hysterectomy; Gynecology -- Periodicals; Obstetrics -- Periodicals; Genital Diseases, Female; Obstetrics; Gynecology; Obstetrics; Periodicals; 618.05
• DOI: 10.1016/j.bpobgyn.2022.03.001
• Languages: English
• ISSNs: 1521-6934

Abstract

Abstract: Surgical menopause (iatrogenic menopause) happens when both ovaries are removed before the natural "switching off" of ovarian function; it can cause premature ovarian insufficiency where the menopause occurs in women before the age of 40. Surgical menopause is associated with a sudden reduction of ovarian sex steroid production rather than a gradual one as is the case in natural menopause. In women who have undergone bilateral salpingo-oophorectomy (BSO) before the natural age of menopause, strong consideration should be given to giving hormone replacement therapy (HRT) till the natural age of menopause at least. Sexual function and sexual desire are altered post-BSO, especially in younger women hence part of HRT prescription must include consideration of androgen too. Highlights: Surgical menopause is associated with a sudden reduction of ovarian sex steroid production rather than a gradual one as is the case in natural menopause. In women who have undergone BSO before the natural age of menopause, strong consideration should at least be given to giving HRT till the natural age of menopause. Sexual function and sexual desire are altered post-BSO, especially in younger women hence part of HRT prescription must include consideration of androgen too.