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Case 1 - A 45-Year-Old Woman Undergoing Hysterectomy Requests Oophorectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A multiparous, 45-year-old woman presents for preoperative evaluation. She has a long history of abnormal uterine bleeding that has been inadequately managed with her current levonorgestrel intrauterine device. She now desires definitive surgical management by hysterectomy. During her visit today, she requests that her ovaries be removed during the surgery. She shares that a good friend recently passed away after a long battle with ovarian cancer and she wants to lower her own risk of ovarian cancer as much as possible. Her past medical history includes depression managed on escitalopram 20 mg daily, and borderline hypertension currently managed with lifestyle modification. She has had no prior surgery.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 1 - 3
Publisher: Cambridge University Press
Print publication year: 2021

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References

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Anderson, GL, Limacher, M, Assaf, AR, et al. The effects of conjugated equine estrogen in postmenopausal women with hysterectomy. JAMA 2004; 291: 1701–12.Google Scholar
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