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Hysterectomy with Ovarian Conservation independent risk factor for metabolic syndrome: Finds Cohort Study

Written By : Dr.Niharika Harsha B |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2025-02-05T20:30:03+05:30  |  Updated On 6 Feb 2025 1:51 PM IST
Hysterectomy with Ovarian Conservation independent risk factor for metabolic syndrome: Finds Cohort Study
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A groundbreaking study revealed that ovary-preserved hysterectomy can be an independent risk factor for metabolic syndrome as ovary-sparing hysterectomy increases the risk of metabolic syndrome. The study was published in the journal Gynecology.

Metabolic syndrome is a cluster of various cardiovascular risk factors like obesity, hyperglycemia, hypertension, and dyslipidemia and is linked to an increased risk of incident atherosclerotic cardiovascular disease (CVD), heart failure, and all-cause mortality. Hysterectomy is the most common gynecologic surgical procedure for various obstetric and gynecologic conditions. Previous research shows that hysterectomy with bilateral salpingo-oophorectomy (BSO) to an increased risk of metabolic syndrome and cardiovascular disease. Recent evidence linked ovary-sparing hysterectomy to an increased risk of CVD. As there is uncertainty on the association between ovary-sparing hysterectomy and CVD with metabolic syndrome, researchers from the Johns Hopkins University School of Medicine, Baltimore, conducted a study to examine the associations between hysterectomy with ovarian preservation and metabolic syndrome risk in a multiethnic cohort.

Also Read: 5 Doctors Slapped Rs 15 Lakh Compensation for Negligence During Hysterectomy

The study included 3,367 women from the MESA (Multi-Ethnic Study of Atherosclerosis) cohort. MESA is a large, community-based, ethnically diverse study of cardiovascular risk factors. Baseline data on hysterectomy, oophorectomy, and metabolic syndrome was collected from the participants. Based on the surgical status they were categorized as hysterectomy only, oophorectomy only, hystero-oophorectomy, and no surgery. The criteria for metabolic syndrome were taken based on the National Cholesterol Education Program criteria, having at least three of the following: large waist circumference, high triglycerides, low HDL cholesterol, high blood pressure, or high fasting glucose. Adjusted logistic regression to assess the cross-sectional associations between hysterectomy and or oophorectomy subgroups and prevalent metabolic syndrome at baseline. About 1355 participants free of baseline metabolic syndrome were involved and adjusted Cox regression models were used to evaluate incident metabolic syndrome.

Findings:

  • The mean age was 59.09.5 years, with 42% White, 27% Black, 19% Hispanic, and 13% Chinese American participants.
  • About 29% had a history of hysterectomy and 22% had oophorectomy.
  • Nearly 750 metabolic syndrome events were seen over a median follow-up of 10.5 years.
  • Hysterectomy and hystero-oophorectomy were both associated with incident metabolic syndrome compared with having neither hysterectomy nor oophorectomy.
Also Read: Long-acting progestogens as effective as oral contraceptive pills for preventing endometriosis-related pain recurrence: BMJ

Thus, the researchers concluded that ovary-preserving hysterectomy was independently associated with a higher risk of metabolic syndrome. The potential mechanisms that the authors believed include reduced blood flow to the ovaries after hysterectomy decreased hormone levels (progesterone, estradiol), and leads to premature ovarian failure, triggering early menopause and metabolic issues.

Further reading: Broni EK, Echouffo-Tcheugui JB, Palatnik A, et al. Associations between hysterectomy and metabolic syndrome: the Multi-Ethnic Study of Atherosclerosis. Am J Obstet Gynecol. 2024;231(4):448.e1-448.e12. doi:10.1016/j.ajog.2024.04.035

Gynecologyobstetrics and gynecologyEric K. Bronihysterectomymetabolic syndrome
Source : Gynecology
Dr.Niharika Harsha B
Dr.Niharika Harsha B

    BDS, MDS

    Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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