Impact of hysterectomy without oophorectomy on the health of postmenopausal women: Assessment of physical, psychological, and cognitive factors

dc.contributor.authorBlümel, Juan E.
dc.contributor.authorChedraui, Peter
dc.contributor.authorVallejo, María S.
dc.contributor.authorEscalante, Carlos
dc.contributor.authorGómez-Tabares, Gustavo
dc.contributor.authorMonterrosa-Castro, Alvaro
dc.contributor.authorÑañez, Mónica
dc.contributor.authorOjeda, Eliana
dc.contributor.authorRey, Claudia
dc.contributor.authorRodríguez Vidal, Doris
dc.contributor.authorRodrigues. Marcio A.
dc.contributor.authorSalinas, Carlos
dc.contributor.authorTserotasl, Konstantinos
dc.contributor.authorCalle, Andres
dc.contributor.authorDextre, Maribel
dc.contributor.authorElizalde, Alejandra
dc.contributor.authorEspinoza, María T.
dc.contributor.researchgroupGrupo de investigacion Salud de la Mujer
dc.date.accessioned2025-04-25T13:53:05Z
dc.date.available2025-04-25T13:53:05Z
dc.date.issued2025-05
dc.description.abstractObjective: To determine the impact of hysterectomy without bilateral oophorectomy on the physical, psycho logical, and cognitive health of postmenopausal women. Methods: This study was a sub-analysis of a cross-sectional, observational study carried out during gynecological consultations in nine Latin American countries. We collected sociodemographic and clinical data and evaluated the women's health using the EQ-5D for health status, the Menopause Rating Scale for menopausal symptoms, the 6-item Female Sexual Function Index for sexual function, the Jenkins Sleep Scale for sleep disturbances, the SARC-F for the risk of sarcopenia, and the Montreal Cognitive Assessment test for cognitive function. Results: The sub-analysis involved 782 postmenopausal women with an average age of 56.9 years and an average body mass index of 26.5 kg/m2. The participants had an average of 13.9 years of education, and 45.9 % of them had a university degree. The group of 104 women who had undergone hysterectomy without oophorectomy had a higher body mass index (27.5 ±4.9 vs 26.3 ±5.1 kg/m2, p <0.03), displayed more comorbidities (63.5 % vs 41.7 %, p <0.001), worse self-perceived health (Odds ratio, OR 2.00, 95 % CI: 1.27–3.15), higher rates of severe menopausal symptoms (OR 2.39, 95 % CI: 1.51–3.77) and sleep disturbances (OR 1.75, 95 % CI: 1.10–2.79), and a higher likelihood of sarcopenia (OR 1.74, 95 % CI: 1.03–2.97) than those who had not undergone hysterec tomy. No significant differences were observed regarding sexual function or cognitive performance between the two groups. Moreover, in the six assessed health domains, menopausal hormone therapy (ever use) was found to be a protective factor, regardless of whether or not the woman had undergone a hysterectomy. Conclusion: Women who undergo hysterectomy without oophorectomy may experience persistent physical and psychological symptoms that affect their mental health and quality of life. Menopausal hormone therapy is associated with improved health outcomes.
dc.format.mimetypeapplication/pdf
dc.identifier.eissn0378-5122
dc.identifier.issn0378-5122
dc.identifier.urihttps://hdl.handle.net/11227/19339
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeAustralia
dc.relation.citationendpage8
dc.relation.citationstartpage1
dc.relation.citationvolume196
dc.relation.ispartofjournalMaturitas
dc.relation.referencesJ.M. Wu, M.E. Wechter, E.J. Geller, T.V. Nguyen, A.G. Visco, Hysterectomy rates in the United States, 2003, Obstet. Gynecol. 110 (5) (2007) 1091–1095.
dc.relation.referencesM.R. Adelman, H.T. Sharp, Ovarian conservation vs removal at the time of benign hysterectomy, Am. J. Obstet. Gynecol. 218 (3) (2018) 269–279.
dc.relation.referencesZ. Wang, X. Li, D. Zhang, Impact of hysterectomy on cardiovascular disease and different subtypes: a meta-analysis, Arch. Gynecol. Obstet. 305 (5) (2022) 1255–1263.
dc.relation.referencesH. Hassan, I. Allen, E. Sofianopoulou, Y. Walburga, C. Turnbull, D.M. Eccles, et al., Long-term outcomes of hysterectomy with bilateral salpingo-oophorectomy: a systematic review and meta-analysis, Am. J. Obstet. Gynecol. 230 (1) (2024) 44–57.
dc.relation.referencesM.M. Mamik, S. Kim-Fine, L. Yang, V. Sharma, R. Gala, S. Aschkenazi, et al., Hysterectomy techniques and outcomes for benign large uteri: a systematic review, Obstet. Gynecol. 144 (1) (2024) 40–52.
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.licenseAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.sourcehttps://www.sciencedirect.com/journal/maturitas
dc.subject.ocde3. Ciencias Médicas y de la Salud
dc.subject.odsODS 3: Salud y bienestar. Garantizar una vida sana y promover el bienestar de todos a todas las edades
dc.subject.proposalHisterectomíaspa
dc.subject.proposalSaludspa
dc.subject.proposalTerapia hormonal para la menopausiaspa
dc.subject.proposalCalidad de vidaspa
dc.subject.proposalHysterectomyeng
dc.subject.proposalOophorectomyeng
dc.subject.proposalHealtheng
dc.subject.proposalMenopausal hormone therapyeng
dc.subject.proposalQuality of lifeeng
dc.titleImpact of hysterectomy without oophorectomy on the health of postmenopausal women: Assessment of physical, psychological, and cognitive factors
dc.typeArtículo de revista
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.contentText
dc.type.driverinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
oaire.arwardurihttps://grupodeinvestigacionsaluddelamujer.com/

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