The Effect of Surgical Menopause on Vasomotor Symptoms and Anxiety in Women: A Prospective Study

Ceren Gölbaşı, Hakan Gölbaşı, Burak Bayraktar, Elif Uçar, İbrahim Ömeroğlu, Şeyda Kayhan Ömeroğlu, Cüneyt Eftal Taner
In: Medical Records · 2023 · vol. 5(1) , pp. 53–8 · doi:10.37990/medr.1160498 · W4313459233
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Bilateral salpingo-ophorectomy with hysterectomy led to significantly higher vasomotor symptoms, sexual dysfunction, sleep problems, and anxiety compared to hysterectomy alone.

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Abstract

Aim: To investigate the effect of of adding oophorectomy on patients who underwent abdominal hysterectomy in the perimenopausal period on menopause, sexual function and mental status. Materials and Methods: The study was designed prospectively. Women who underwent total abdominal hysterectomy and bilateral salpingectomy (TAH+BS) and total abdominal hysterectomy and bilateral salpingo-ophorectomy (TAH+BSO) in the perimenopausal period for benign indications were included in the study. Three months after surgery, menopausal symptoms (such as vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleep problems) were investigated. Beck Anxiety Inventory (BAI) scores were investigated one day before the operation and three months after the operation. Results: 51 patients with TAH+BS and 55 patients with TAH+BSO included in study. Vasomotor symptoms and postoperative BAI scores were significantly higher in the oophorectomy group (p<0.001 and p=0.009, respectively). Vaginal dryness and/or dyspareunia, which adversely affect sexual function, were significantly higher in the oophorectomy group (p=0.005). Memory and sleep problems were higher in the oophorectomy group (p=0.009 and p<0.001, respectively). Postoperative BAI scores were found to be correlated with postmenopausal symptoms (vasomotor symptoms, vaginal dryness and/or dyspareunia, memory problems, sleeping disorders) in the TAH+BSO group. Conclusion: Vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleeping problems, and anxiety levels were significantly higher in patients who underwent bilateral salpingo-ophorectomy with hysterectomy compared to patients who underwent only hysterectomy and bilateral salpingectomy. It seems useful to inform the patients who are planned for the operation regarding these effects before the decision of oophorectomy.
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Abstract

Materials and Methods: The study was designed prospectively. Women who underwent total abdominal hysterectomy and bilateral salpingectomy (TAH+BS) and total abdominal hysterectomy and bilateral salpingo-ophorectomy (TAH+BSO) in the perimenopausal period for benign indications were included in the study. Three months after surgery, menopausal symptoms (such as vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleep problems) were investigated. Beck Anxiety Inventory (BAI) scores were investigated one day before the operation and three months after the operation.

Results

51 patients with TAH+BS and 55 patients with TAH+BSO included in study. Vasomotor symptoms and postoperative BAI scores were significantly higher in the oophorectomy group (p<0.001 and p=0.009, respectively). Vaginal dryness and/or dyspareunia, which adversely affect sexual function, were significantly higher in the oophorectomy group (p=0.005). Memory and sleep problems were higher in the oophorectomy group (p=0.009 and p<0.001, respectively). Postoperative BAI scores were found to be correlated with postmenopausal symptoms (vasomotor symptoms, vaginal dryness and/or dyspareunia, memory problems, sleeping disorders) in the TAH+BSO group.

Conclusion

Vasomotor symptoms, vaginal dryness and/or dyspareunia, memory and sleeping problems, and anxiety levels were significantly higher in patients who underwent bilateral salpingo-ophorectomy with hysterectomy compared to patients who underwent only hysterectomy and bilateral salpingectomy. It seems useful to inform the patients who are planned for the operation regarding these effects before the decision of oophorectomy.

Keywords

References - 1. Novetsky AP, Boyd LR, Curtin JP. Trends in bilateral oophorectomy at the time of hysterectomy for benign disease. Obstet Gynecol. 2011;118:1280-6. - 2. Backes FJ, Fowler JM. Hysterectomy for the treatment of gynecologic malignancy. Clin Obstet Gynecol. 2014;57:115-27. - 3. Bretschneider CE, Jallad K, Paraiso MFR. Minimally invasive hysterectomy for benign indications: an update. Minerva Ginecol. 2017;69:295-303. - 4. Dogan A, Ertas IE, Solmaz U, et al. Total laparoscopic hysterectomy: a single center experince of 20 months. Pamukkale Medical Journal. 2016;9:17-22. - 5. Jacoby VL, Autry A, Jacobson G, et al. Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches. Obstet Gynecol. 2009;114:1041-8. - 6. Mahal AS, Rhoads KF, Elliott CS, Sokol ER. Inappropriate oophorectomy at time of benign premenopausal hysterectomy. Menopause. 2017;24:947-53. - 7. Labrie F, Martel C, Balser J. Wide distribution of the serum dehydroepiandrosterone and sex steroid levels in postmenopausal women: role of the ovary? Menopause. 2011;18:30-43. - 8. Burger HG, Hale GE, Dennerstein L, Robertson DM. Cycle and hormone changes during perimenopause: the key role of ovarian function. Menopause. 2008;15:603-12. Details Primary Language English Subjects Surgery Journal Section Clinical Research Authors Ceren Gölbaşı * 0000-0002-1844-1782 Türkiye Hakan Gölbaşı 0000-0001-8682-5537 Türkiye Burak Bayraktar 0000-0001-6233-4207 Türkiye Elif Uçar 0000-0001-5302-4688 Türkiye İbrahim Ömeroğlu 0000-0001-9200-0208 Türkiye Publication Date January 15, 2023 Submission Date August 10, 2022 Acceptance Date August 25, 2022 Published in Issue Year 2023 Volume: 5 Number: 1 Cited By Harmful incidents following gynaecological ambulatory surgery: A scoping review International Journal of Nursing Studies Advances https://doi.org/10.1016/j.ijnsa.2026.100487

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