A prospective study of 3 years of outcomes after hysterectomy with and without oophorectomy.

Abstract

This study was undertaken to determine the outcomes of hysterectomy with and without conservation of the ovaries. Data were collected prospectively for 3 years from 257 women undergoing hysterectomy (group 1) and 57 women undergoing hysterectomy with oophorectomy (group 2). Pelvic pain, abdominal pain, and depression scores were reduced in the 3 years after hysterectomy. Twenty-one percent of the women in group 1 and 43% in group 2 regretted the loss of fertility 3 years after hysterectomy. Satisfaction with the operation was greater than 90% after 3 years in both groups. New symptoms of pelvic pain were infrequent in groups 1 (3%) and 2 (5%). Three years after undergoing hysterectomy with and without oophorectomy, satisfaction is high although some women regret the loss of fertility.