Ovariectomy (oophorectomy)

Ovariectomy or oophorectomy is a type of surgical treatment for endometriosis and tumors. The procedure can be unilateral or bilateral. Ovariectomy eliminates the cause of pain, prevents complications, and improves quality of life. In this article, you will learn how the operation is performed, what results it gives, and how to properly prepare for it.

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What is oophorectomy?

Ovariectomy is an operation to remove one or both ovaries. It is performed according to strict indications when a woman's health is at risk.

The intervention is most often performed laparoscopically - through small punctures, which implies minimal invasiveness and a short recovery time. In complex cases, the doctor makes an abdominal incision.

What is oophorectomy?

Methods of performing ovariectomy surgery

Ovariectomy can be performed using several methods. Let's look at each of them in more detail.

Laparoscopic method

It is considered the least traumatic. The procedure is performed under general anesthesia through 3-4 small punctures in the abdominal wall. One puncture is used to insert a laparoscope with a camera that transmits an enlarged image to the screen, the others are for surgical instruments. The ovary is removed carefully so as not to damage adjacent tissues. The entire procedure lasts about 1-1.5 hours.

After laparoscopy, the patient remains in the hospital for 1-2 days. Light exercise can be started after 2 weeks. Full recovery takes a month.

Cavity method

It is chosen if a malignant tumor is suspected or if there are significant pathological changes in the tissues. The procedure is performed through an incision in the lower abdomen under general anesthesia. The doctor gets full access to the organs, removes the ovary and, if necessary, the affected tissues nearby. The procedure lasts from 1.5 to 2 hours.

Rehabilitation after abdominal surgery takes longer. The first 3-5 days the patient is under the supervision of doctors. The stitches are removed on the 7-10th day. Full recovery takes 6 weeks.

Robot-assisted surgery

A modern method that involves high precision and minimal invasiveness. Instruments and a camera are inserted through small punctures in the abdominal wall. The surgeon controls the process using a robotic system, which minimizes tissue damage.

After the robotic surgery, the patient is discharged after 1-2 days. You can return to your normal daily life after 2-3 weeks.

General information

Preparation for ovarian removal surgery

At the first stage, the patient is examined by a gynecologist. The doctor studies the complaints, medical history in detail and explains why surgical intervention is necessary. Possible consequences are discussed, including the impact on hormonal levels and reproductive health.

Before oophorectomy, the patient is prescribed:

  • General and biochemical blood tests to check the hemoglobin level, coagulation and liver function
  • Ultrasound of the pelvic organs to clarify the condition of the ovaries and adjacent tissues
  • ECG to assess heart function in the presence of chronic diseases
  • Tests for hepatitis, HIV, syphilis

If there is a suspicion of oncology, a blood test for the CA–125 tumor marker is performed. It is important to treat chronic inflammation and other diseases before ovarian oophorectomy. In case of anemia, iron preparations are prescribed, and in case of high risk of infection, prophylactic antibacterial therapy is prescribed.

A woman is advised to avoid fatty and spicy foods the day before the procedure. The last meal should be 8-10 hours before the ovary removal. It is necessary to inform the doctor about all medications taken. Anticoagulants may be temporarily discontinued.

How is an oophorectomy performed?

The procedure is performed under general anesthesia and consists of several stages:

  1. Preparation. The patient is given general anesthesia so that she does not feel pain or discomfort. The abdomen is treated with an antiseptic solution to eliminate the risk of infection.
  2. Access to the ovaries. Depending on the chosen method, the doctor makes small punctures during laparoscopy or an incision in the lower abdomen during the abdominal technique.
  3. Removal of the ovaries. The ovary or ovaries are separated from the ligaments and vessels. To avoid bleeding, the surgeon cauterizes the vessels. If the operation is performed due to a tumor, the removed organ is placed in a special container to prevent contact with surrounding tissues.
  4. Completion. After the oophorectomy of the ovaries, the doctor checks the area of the intervention for bleeding or damage to adjacent organs. During laparoscopy, the punctures are sutured with self-dissolving threads. With the cavity technique, the incision is sutured with subsequent application of sutures

Immediately after the operation, the patient is transferred to a ward, where her condition is monitored by doctors. Usually, after laparoscopy, discharge occurs in 1-2 days, after abdominal surgery - in 3-4 days.

Consequences of ovarian removal

Ovariectomy affects the hormonal background and the functioning of the reproductive system. How serious the changes will be depends on whether one ovary or both were removed, as well as on the state of the woman's body.

If only one ovary is removed, the second ovary usually takes over the function of producing hormones, so significant changes may not be observed. The woman retains the ability to conceive, the menstrual cycle continues. Sometimes the body may not adapt immediately. Hormonal disruptions are possible, which are accompanied by irregular periods, irritability, headaches.

If both ovaries are removed, the body loses the main source of female hormones - estrogens and progesterone, which causes artificial menopause, regardless of age. Symptoms of menopause occur:

  • Hot flashes
  • Increased sweating
  • Mood swings
  • Dry mucous membranes

Long-term effects include increased risk of osteoporosis, cardiovascular disease, decreased bone density. Some women experience stress and anxiety due to hormonal changes or loss of fertility.

Rehabilitation after oophorectomy

In the first days after discharge, a gentle regime is recommended: rest more, avoid intense physical activity and lifting weights. To speed up the tissue healing process, it is recommended to follow a diet. The diet should predominantly include foods enriched with proteins and vitamins. The sutures after laparoscopy heal within 7-10 days, after which you can gradually return to your usual activity.

Full recovery after oophorectomy takes from 4 to 6 weeks. During this time, it is important to regularly visit a doctor to examine the sutures and assess the general condition. If both ovaries are removed, he prescribes hormone replacement therapy to prevent menopausal symptoms and maintain health.

After an oophorectomy, you should immediately seek medical help if you experience the following symptoms:

  • Severe pain that is not relieved by painkillers
  • Body temperature above 38°C
  • Redness or purulent discharge from the stitches
  • Severe weakness, dizziness

Hormonal changes after an oophorectomy can affect your mood. It is important to share your experiences with your doctor or loved ones.

Indications for ovarian removal

Indications for ovarian oophorectomy include:

  • Ovarian tumors. If ovarian cancer is detected, removal is necessary to prevent the spread of the tumor. Large cysts are removed in cases where they cause pain, compress adjacent organs, or disrupt ovarian function
  • Severe endometriosis. Endometrial tissue grows on the ovaries, leading to chronic pain and disruption of the organ. Resection is performed if the affected ovaries become a source of constant inflammation or cysts
  • Genetic risk of cancer. Preventive removal is prescribed to women with BRCA1 and BRCA2 gene mutations, which increase the risk of ovarian and breast cancer and are life-threatening
  • Emergencies. Torsion of the ovary, rupture of the cyst are accompanied by acute pain, threaten the formation of adhesions, development of abscess, sepsis. If the organ tissues are damaged so much that they cannot be restored, the ovary is removed
  • Inflammatory diseases of the ovary. If the damage becomes irreversible, the organ is removed to prevent the spread of infection to neighboring tissues

In addition, in case of breast or endometrial cancer, ovarian oophorectomy helps to reduce estrogen levels and slow tumor growth.

Advantages of performing oophorectomy at the K+31 clinic

At the K+31 clinic in Moscow, all stages of treatment are carried out in accordance with modern standards:

  • Innovative technologies. The operation is performed using laparoscopic equipment
  • Individual approach. Before the intervention, the patient undergoes a full examination. Doctors select a treatment method taking into account the state of health
  • Qualifications of doctors. The procedures are performed by experienced gynecological surgeons
  • Rehabilitation. Each patient is given a recovery plan after oophorectomy
  • Comprehensive support. The patient receives support at all stages: from diagnosis to rehabilitation

Sign up for a consultation at the K+31 clinic to get professional help! Prices for oophorectomy and other services can be found in the price list on our website.

Advantages of performing oophorectomy at the K+31 clinic

Answers to popular questions

Doctors of "K+31" answer the most popular questions about ovarian removal (oophorectomy):

How do I know if I need to remove my ovaries?

Removal is prescribed for tumors, cysts with complications, chronic pain or a threat to life. The diagnosis is confirmed by ultrasound, tests and a doctor's consultation.

What happens to hormones after an oophorectomy?

If both ovaries are removed, artificial menopause sets in. Hormone replacement therapy is prescribed to compensate for the lack of hormones, and is selected individually.

Is it still possible to get pregnant after an oophorectomy?

After removing one ovary, fertility can be preserved. After removing both, pregnancy is possible only with a donor egg and IVF.

When can I return to normal life after an oophorectomy?

After laparoscopic surgery — in about 2 weeks, and after an open oophorectomy — in 4–6 weeks. It depends on the surgical method and the patient's condition.

Can an oophorectomy be performed if there are inflammatory processes?

No, it cannot. Active infections increase the risk of complications. Anti-inflammatory therapy is performed before the operation.

What tests are required before an oophorectomy?

A complete blood count, biochemical blood test, coagulation profile, infection swab, and ultrasound are mandatory. If necessary, a CT or MRI scan may be performed for clarification.

Are there any age restrictions for an oophorectomy?

Age is not an absolute contraindication. Surgery can be performed in both young and older patients, if there are medical indications and no other restrictions.

How does an oophorectomy affect sexual life?

After removing one ovary, sexual activity is usually preserved. After removing both, libido tends to decrease due to a lack of hormones.

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Kashoyan Anna Robertovna
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