Adverse childhood experiences and adult abuse are predictors of hysterectomy and oophorectomy

Rocca, Liliana Gazzuola; Smith, Carin Y.; Stewart, Elizabeth A.; Rocca, Walter A.

doi:10.1016/j.maturitas.2017.08.001

Cited by 9 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This hypothesis is an extension of prior studies that show increased rates of body image distress and feelings of “brokenness” shared by some patients with infertility. 26,27 Additionally, a history of adverse childhood outcomes has been associated with increased rates of hysterectomy and oophorectomy, with many women reporting distress from their “sexual or reproductive life.” 28,29 Adverse childhood outcomes have not been evaluated previously in a population with infertility; if increased, this may be a relevant contributor to our findings.…”

Section: Discussionmentioning

confidence: 89%

Women With a History of Primary Infertility and Increased Rates of Bilateral Oophorectomy

Ainsworth

Sadecki

Zhao

et al. 2022

Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 89%

Women With a History of Primary Infertility and Increased Rates of Bilateral Oophorectomy

Ainsworth

Sadecki

Zhao

et al. 2022

Obstetrics &Amp; Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

“…While hysterectomy itself does not seem to cause psychopathology, it is worth noting that for women with a psychiatric history, undergoing a hysterectomy can be a tipping point, exacerbating existing psychological challenges. Additionally, previous experiences of abuse may be linked to persistent problems experienced by some women after the procedure [ 19 ]. The high incidence of psychological disturbance observed before hysterectomy also underscores the significance of the woman’s partner in providing support.…”

Section: Discussionmentioning

confidence: 99%

Psychological Outcomes and Quality of Life After Hysterectomy for Benign Diseases: A Prospective Cohort Study

Ferhi,

Marwen,

Abdeljabbar

et al. 2024

Cureus

View full text Add to dashboard Cite

Background Hysterectomy is a common surgical procedure performed for benign gynecological diseases. While the physical benefits have been extensively studied, less attention has been given to its impact on psychological well-being and overall quality of life (QoL). This study aimed to assess the psychological outcomes and QoL before and after hysterectomy for benign diseases. Methodology This prospective cohort study included women undergoing hysterectomy for benign diseases at Ibn El Jazzar Hospital in Kairouan, Tunisia. The study was conducted from January 2, 2020, to December 31, 2021. We used the Short-Form-36 Health Survey (SF-36) to evaluate the QoL and the Hospital Anxiety and Depression Scale (HADS) to assess psychological outcomes preoperatively and after six months. Data entry and analysis were performed using SPSS version 26 (IBM Corp., Armonk, NY, USA) with the significance level (p) set to 0.05. Results Of 84 assessed patients, 60 were included. Following the hysterectomy, there were improvements in QoL and psychological outcomes across all domains, regardless of whether total or subtotal hysterectomy was performed. The mean HADS score for anxiety decreased from 12.57 to 8.77 after hysterectomy and from 14.83 to 9.57 for depression. Moreover, the median SF-36 total score increased from 29.81 to 68.1. We found no statistically significant difference between the two groups in all assessed outcomes. Conclusions Hysterectomy for benign conditions, whether total or subtotal, positively impacted symptoms of depression and anxiety, as well as the overall QoL for patients. A thorough preoperative psychiatric assessment is recommended to address and support mental health outcomes in these patients. Future research should consider a larger multicenter approach for a broader application of findings.

show abstract

“…For example, women who had a higher number of pregnancies or live births were more likely to undergo the removal of presumed healthy ovaries, even though contraceptive methods were widely available during the study period. As shown in our previous study [10,11], some women had undergone prior abdominal surgeries (e.g., appendectomy, tubal resection, or Cesarean section), and requested the oophorectomy in the belief that it might definitively eliminate pain or other distress. These women may have been unaware or in denial of the possible psychological and emotional origins of their pain and distress, and the gynecologists may have underestimated the possible long-term harmful consequences of bilateral oophorectomy [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…This practice reflects the unresolved controversy about the advantages and disadvantages of removing healthy ovaries in premenopausal women for the prevention of ovarian and breast cancer [3–9]. In addition to a family history of ovarian cancer, intraoperative events, surgeons’ preferences, women’s preferences and past experiences, and social, reproductive, and familial factors may be involved in the decision to remove healthy ovaries [10,11]. We recently reported on the association between adverse childhood or adult experiences and the risk of bilateral oophorectomy [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…In addition to a family history of ovarian cancer, intraoperative events, surgeons’ preferences, women’s preferences and past experiences, and social, reproductive, and familial factors may be involved in the decision to remove healthy ovaries [10,11]. We recently reported on the association between adverse childhood or adult experiences and the risk of bilateral oophorectomy [10,11]. However, other characteristics associated with bilateral oophorectomy have not been investigated extensively.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Personal, reproductive, and familial characteristics associated with bilateral oophorectomy in premenopausal women: A population-based case-control study

Rocca

Smith

et al. 2018

Maturitas

Self Cite

View full text Add to dashboard Cite

Objectives: We investigated the association of personal, reproductive, and familial characteristics with bilateral oophorectomy performed for nonmalignant indications in a US population. Study design: In an established cohort study, we used the records-linkage system of the Rochester Epidemiology Project (REP http://www.rochesterproject.org) to identify 1,653 premenopausal women who underwent bilateral oophorectomy in Olmsted County, Minnesota between 1988 and 2007 for a nonmalignant indication. Each woman was matched by age (±1 year) to a population-based referent woman who had not undergone bilateral oophorectomy as of the index date. We used case-control analyses to investigate several characteristics associated with bilateral oophorectomy. Odds ratios and their 95% confidence intervals were adjusted for ethnicity, education, and income. Results: In the overall analyses, infertility was more common in women who underwent bilateral oophorectomy than in the controls, whereas use of oral contraceptives, a history of breast feeding, and fibrocystic breast disease were less common. The women who underwent bilateral oophorectomy weighed more than controls, had a higher body mass index and were older at menarche. The associations were more pronounced for women who underwent the bilateral oophorectomy before age 46 years, and some associations were different for women with or without a benign ovarian indication. Reported family histories of uterine and other cancers were more common in women without a benign ovarian indication. Conclusions: We identified a number of personal, reproductive, and familial characteristics that were associated with bilateral oophorectomy over a 20-year period. Our historical findings may help inform decision-making about oophorectomy in the future.

show abstract

Adverse childhood experiences and adult abuse are predictors of hysterectomy and oophorectomy

Cited by 9 publications

References 4 publications

Women With a History of Primary Infertility and Increased Rates of Bilateral Oophorectomy

Women With a History of Primary Infertility and Increased Rates of Bilateral Oophorectomy

Psychological Outcomes and Quality of Life After Hysterectomy for Benign Diseases: A Prospective Cohort Study

Personal, reproductive, and familial characteristics associated with bilateral oophorectomy in premenopausal women: A population-based case-control study

Contact Info

Product

Resources

About