Cardiovascular diseases are increasing among women, when they removed the uterus

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Published the 05.01.2018 at 11h46

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Researchers from the Mayo Clinic show that hysterectomy, the removal of the uterus, regardless of the cause, and even if the ovaries are preserved, is associated with an increased risk of several cardiovascular and metabolic diseases. The results are published in the journal Menopause.

An increase in cardiovascular risk

The study shows that women who have had a hysterectomy without removal of ovarian have an increased risk of 14% for cholesterol disorders, 13% of the risk of high blood pressure, 18% of the risk of obesity and 33% of the risk of coronary heart disease.
In addition, women under the age of 35 years had 4.6 times higher risk of congestive heart failure and 2.5 times more risk of coronary heart disease.
“Hysterectomy is the second surgery the most common in the gynecology, and most are done for reasons, benign as the doctors feel that this surgery has minimal risks in the long term,” explains Dr. Laughlin-Tommaso.

A wide range of women followed

The women in this study were identified using the Rochester Epidemiology Project, a database of medicine that includes the complete medical records of hospitalized patients and outpatients of all the centers of medical care in the county of Olmsted, Minnesota.
Researchers have identified 2094 women resident in the county of Olmsted, who have had a hysterectomy with conservation of the ovary for benign disease. Each woman was compared to a woman living in the same county, and who had not had hysterectomy or ablation of the ovary.

The most reliable data

“What are the best data to date that shows women who have had a hysterectomy are at risk of long-term disease – even when both ovaries are retained,” says Shannon Laughlin-Tommaso, M. D., study author and Mayo Clinic OB-GYN. “While women are increasingly aware that the removal of the ovaries presents a risk to health, this study suggests that” hysterectomy inter-adnexal “, that is to say, without touching the ovaries, there are also risks, especially for women who undergo a hysterectomy before the age of 35 years “.

“With the results of this study, we encourage physicians to consider systematically alternative non-surgical methods for the treatment of fibroids, endometriosis and prolapse, which are the main causes of hysterectomy “.