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Will Hysterectomy Raise Heart Disease Risk? Many factors can cause a person to develop heart disease, for instance, high blood pressure, diabetes, smoking, and binge drinking. But a study that was published Jan 3, 2018 in journal ‘Menopause’ also suggested that women who undergo a hysterectomy are at greater risk for heart disease and other health issues, even if they keep their ovaries. Hysterectomy is the second most common gynecologic surgery, and most are done for benign reasons including cancer of the uterus, cervix, or ovaries, uterine fibroids or uterine prolapse. It is a surgical procedure that removes the uterus. Sometimes the ovaries are also removed to lower the risk of cancer. 2,094 women who underwent a hysterectomy between 1980 and 2002 were involved in the study. In all cases the ovaries were not removed during the procedure. Researchers from Mayo Clinic found that compared to women who had not performed a hysterectomy, the study participants who had the procedure experienced an average 14 percent higher risk of abnormal blood fat levels; a 13 percent higher risk for high blood pressure; an 18 percent higher risk for obesity and a 33 percent greater risk for heart disease. Their findings also showed that long-term health issues associated with hysterectomy were especially pronounced for younger women: women younger than 35 had a 4.6-fold higher risk of congestive heart failure and a 2.5-fold greater risk of coronary artery disease, or a build-up of plaque in the arteries.
Earlier studies have suggested that removing ovaries poses health risks. Researchers from University of Warwick observed an increase in incidence of heart disease and cancer, and of deaths from heart disease and cancer when ovaries were removed. The study involved 113,679 cases of women aged 35-45 during the period April 2004 to March 2014. The paper, which was published February 6, 2017 in ‘BMJ’ indicated that women who had one or no ovaries removed were less likely to develop ischaemic heart disease (coronary artery disease) or cancer after hysterectomy than those who had both ovaries removed. The researchers also found that fewer women who retained one or both ovaries compared to those who had both removed died within the duration of the study. Nevertheless, not all research arrives at same conclusion. A earlier study did reveal that women who have a hysterectomy are not in danger of increasing their risk of cardiovascular disease later in life. The findings were published online July 16, 2013 in the ‘Journal of the American College of Cardiology’. Data was collected on 3,302 premenopausal women took part in the study. These women were not using hormone therapy between 42 and 52 years of age. They were followed annually for over 11 years for sociodemographic characteristics, menopausal status, surgeries, body mass index, medication use, lifestyle factors, lipids, blood pressure, insulin resistance, and hemostatic and inflammatory factors. By comparing cardiovascular risk factors before and after the women had elective hysterectomy with or without ovary removal with women who had a natural menopause, the researchers found that there were changes in cardiovascular risk factors after a hysterectomy, compared to risk factor changes after natural menopause. But these changes were not linked to an increase in the risk of cardiovascular disease. Women who had a hysterectomy with removal of ovaries did tend to gain weight. These effects were similar in all ethnic groups. It is possible that by excluding women who had a hysterectomy because of cancer and the older age of the women may have played a role in getting different findings from other studies, according to the researchers. Some of the most common reasons women have for hysterectomy are bleeding and fibroids. General consensus among gynecologists is that hysterectomy for noncancerous reasons is usually considered only after all other treatment approaches such as endometrial ablation and uterine fibroids embolization fail.
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