Should you have your ovaries removed at the time of hysterectomy?

20 years ago, it was common to have your ovaries removed along with your uterus (hysterectomy). If your hysterectomy is for cancer, there are known benefits for removing your ovaries to prevent future ovarian cancer. If your hysterectomy is for benign conditions, for example abnormal bleeding or fibroids, the benefits are less clear.

It was previously thought that the ovarian function after the age of 45 was negligible. The latest evidence, however, suggests that ovarian function continues up to age 60. There are significant health benefits of keeping your ovaries including preventing osteoporosis, reducing the risk of heart disease and improving sexual function. If you need your ovaries removed for clinical reasons or choice, some of these risks can be reduced by hormone replacement therapy, if it is safe for you.

The most important factor is that your care is individualised and any risks adjusted to you. At Obgyn Matters, personalised care and informed consent underpins all treatments we provide