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Should ovaries be sacrificed during uterus removal operation (hysterectomy)?

Most hysterectomy operations also include removal of ovaries and this practice is going on for decades and probably no one knows who started this practice. The rational which is kept forward for removal of ovaries is that it will eliminate the risk of developing ovarian cancer.

Now the issue is, it’s not necessarily that every woman will develop an ovary cancer so the simultaneous removal practice of ovary with uterus might be challenged. Interestingly new studies bringing in a very interesting and important piece of information that by removal of the ovaries although a woman can be rescued from ovarian cancer occurrence in future but removal of ovary might be pushing women to many other causes of death like heart disease, colorectal cancer and lung cancer. Probably odds of dying from these other diseases are more than dying from an ovarian cancer in women who don’t have any genetic susceptibility to develop an ovarian cancer.

So if you are planning a hysterectomy talk with your doctor and understand both the pros and cons of removal of ovaries unnecessarily.

Probably chopping a specific diseased trunk of a tree is better than removing the whole tree unless the whole tree is prone to the disease!

English: This is a normal ovary from a 46-year...
This is a normal ovary from a 46-year-old woman. It was removed in the course of a hysterectomy for leiomyomata (benign tumors) of the uterus. The bright-yellow wreath-like structure at the upper left is a fully developed corpus luteum, indicating that the patient is in the postovulatory (secretory) phase of the menstrual cycle. If pregnancy does not occur, the corpus luteum shrinks down to a tiny, white corpus albicans, one of which can be seen in the lower right part of the ovary.

References- http://journals.lww.com/greenjournal/Fulltext/2013/04000/Long_Term_Mortality_Associated_With_Oophorectomy.4.aspx, http://www.nlm.nih.gov/medlineplus/news/fullstory_135220.html

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Endometrial cancer prevention

Recent reports show, about 60 per cent of endometrial cancer cases are preventable, which is no doubt an interesting and surprising news. Before looking into the issue in detail let’s know what is an endometrial cancer is. Endometrial cancer, is a cancer of endometrium. Endometrium is the innermost  lining of uterus. When this lining is affected by cancer, we refer it as an endometrial cancer.

Now coming back to our discussion. There are two body hormones, which are related to endometrial cancer, namely estrogen and insulin. If their levels in blood rise the risk of cancer rises. Excessive body fat rises the formation of excess estrogen therefore contributing in occurrence of the cancer. On the other hand, excess diet with high glycaemic index like highly sugary diets can increase the cancer risk too. The combined effects may rise estrogen and insulin levels in blood and cause cancer.

Henceforth, efforts to decrease the body fat and high sugary diets, may aid in reducing the risk of cancer. In addition, consuming coffee may be beneficial, since coffee is rich in antioxidants, which too are said to provide some sort of cancer protection.

Uterus and uterine tubes.

You may share your opinions below in the comments section. For all your health concerns please be guided by your healthcare provider. Please cross check information from other sources too. Reference: http://www.nlm.nih.gov/medlineplus/news/fullstory_140561.html

Uterine Fibroids and vitamin D

Uterine fibroids are benign (i.e. non- cancerous) tumors of uterus. It’s also known as  leiomyoma. If fibroids are malignant (i.e. cancerous) they are called  leiomyosarcoma, although these are very rare. 

Fibroids don’t always cause symptoms but can present with pain in lower belly or painful heavy bleeding with menses. Generally a doctor’s help is needed to know if someone has a fibroid and an ultrasound study is helpful in making the diagnosis.

Female hormones like estrogen and progesterone causes its size to increase although during pregnancy (when these hormones are high) size increase is rare.

Fibroids occurring before menopause (i.e. when menses stop, it normally happens in every women after a certain age) are also found to be associated with high blood pressure although exact causes of such association are yet to be found.

Treatment of fibroids can range from simple pain medications to taking the tumor out by surgery or embolisation (blocking) the  blood vessels that feed the tumor or hysterectomy (removing the whole uterus along with the tumor).

Recent studies show that Vitamin D can help prevent occurrence of fibroids. Simple and inexpensive methods like exposure to sunlight can help getting the vitamin D.

Posterior half of uterus and upper part of vag...
Posterior half of uterus and upper part of vagina.

 Reference:  (LINK),(LINK), (LINK)