The Association of Ovarian Preservation during Hysterectomy with Obesity in Premenopausal Women.
- Author:
Jee Young MIN
;
Chan Min PARK
;
Il Young KO
;
Chang Ho JUNG
;
Kyung Yong SEO
;
In Hwa ROH
;
Jae Sik SHIM
- Publication Type:Original Article
- Keywords:
Husterectomy;
Bilateral oophorectomy;
Ovarian preservation;
Premenopausal status;
Obesity;
BMI
- MeSH:
Blood Pressure;
Cholesterol;
Female;
Gynecology;
Hospital Records;
Hospitals, Veterans;
Humans;
Hypertension;
Hysterectomy*;
Korea;
Obesity*;
Risk Factors;
Smoke;
Smoking;
Triglycerides
- From:Korean Journal of Obstetrics and Gynecology
1997;40(8):1676-1682
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To determine if hysterectomy with or without ovarian preservation is asso-ciated with obesity in premenopausal women. METHODS: 581 women for routine check up from Jan. 1985 to Dec. 1995 in the depart-m ent of Gynecology at Korea Veterans Hospital were included. The obesity was evaluated by BMI(body mass index) scores. 80% of hysterectomy were confirmed from the hospital records. The age, weight, height, blood pressure, menstr- ual history, history of DM and hypertension, social history of alcohol and smoking and other cardiovascular risk factors such as cholesterol, HDL-cholesterol, triglycerides were checked. The 248 women with natural postmenopausal status before hysterectomy, taking hormonal replacement therapy after hysterectomy and having performed hysterectomy due to malign- ancy were excluded. RESULTS: All women performed hysterectomy were in premenopausal status in this study. Therefore, the final numbers of subjects included in the analysis was 333. Hysterectomy wit- hout ovarian preservation were performed in 58 cases and hysterectomy with ovarian pres- ervation were in 57 cases. The 218 premenopausal cases which did not performed hystere- ctomy were considered control group. BMI scores were higher in cases without ovarian pres- ervation than with ovarian preservation. And BMI score was associated with the postoper- ative duration in hysterectomy with ovarian preservation. CONCLUSIONS: We suggest that hysterectomy without ovarian preservation in premeno- paussal women were associated with increased obesity, especially BMI scores.
