Impact of bilateral ovariectomy on climacteric symptoms in post-menopausal women
- VernacularTitle:双侧卵巢切除对绝经后妇女绝经期症状的影响
- Author:
Minfang TAO
;
Jieping ZHU
;
Yincheng TENG
- Publication Type:Journal Article
- Keywords:
post-menopause;
climacteric symptom;
bilateral ovariectomy;
modified Kupperman Index score
- From:
Journal of Shanghai Jiaotong University(medical Science)
2010;30(2):162-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of bilateral ovariectomy in post-menopausal women by comparison of climacteric symptoms before and after operation. Methods Post-menopausal women who received hysterectomy with concurrent bilateral ovariectomy on benign uterine indications were recruited.Climacteric symptoms before and after operation were accessed by a questionaire including modified Kupperman Index.Comparison was made after grouping the patients into early menopause group,whose menopausal period was no more than 5 years,and late menopause group,whose menopausal period was more than 5 years. Results Among a total of 95 individuals,8 had normal,46 had mild,34 had moderatc,and the other 7 had severe Kupperman Index scores before operation,while 5 had normal,28 had mild,48 had moderate,and the other 14 had severe Kupperman Index scores after operation,with more moderate and severe climacteric symptoms after operation than before operation(P<0.05).Women of early menopause group had higher total Kupperman Index scores and symptom scores of sweating,insomnia,depression,fatigue and headache than those of late menopause group before operation(P<0.05).Women of early menopause group had significantly higher Kupperman Index scores after operation than before operation(23.93±7.53 vs 17.63±8.07,P<0.05).However,there was no significant difference in total Kupperman Index scores in women of late menopause group before and after operation. Conclusion Bilateral ovariectomy may affect the climacteric symptoms in post-menopausal women,especially in early menopausal period.
