Our Summary

This study compared the sexual function and quality of life in women who have survived breast cancer, with some having had a procedure to remove both ovaries (bilateral salpingo-oophorectomy) and some not. The study found that there was no difference in sexual dysfunction or desire disorder between the two groups. However, the group of women who had their ovaries removed reported lower general health scores compared to the other group. Both groups had similar levels of energy, emotional well-being, pain, physical function, and social function. In conclusion, the research suggests that having this ovarian removal procedure does not affect sexual function or quality of life for women who have been treated for breast cancer.

FAQs

  1. Does undergoing bilateral salpingo-oophorectomy affect sexual function and desire in breast cancer survivors?
  2. How does bilateral salpingo-oophorectomy impact the general health scores of breast cancer survivors compared to those who didn’t have the procedure?
  3. Does having a bilateral salpingo-oophorectomy affect the quality of life for women treated for breast cancer?

Doctor’s Tip

A helpful tip a doctor might tell a patient about salpingo-oophorectomy is to discuss with their healthcare provider the potential impact on their overall health and quality of life. It is important to weigh the benefits and risks of the procedure, and to have a thorough understanding of the potential implications on sexual function, hormonal balance, and general well-being. Additionally, patients should be aware of potential alternative options or ways to manage any potential side effects post-surgery. It is important for patients to openly communicate with their healthcare team and ask any questions or express any concerns they may have before making a decision about undergoing a salpingo-oophorectomy.

Suitable For

Patients who are typically recommended salpingo-oophorectomy include those with a high risk of developing ovarian or fallopian tube cancer, such as those with a family history of these cancers or those with BRCA1 or BRCA2 gene mutations. Additionally, women with certain gynecologic conditions such as ovarian cysts, endometriosis, or pelvic inflammatory disease may also be recommended for this procedure. In some cases, salpingo-oophorectomy may be recommended as part of treatment for certain types of cancer, such as breast cancer, to reduce the risk of cancer recurrence.

Timeline

Before salpingo-oophorectomy:

  1. Diagnosis of breast cancer and discussion of treatment options with healthcare provider.
  2. Consideration of whether to undergo salpingo-oophorectomy as part of treatment plan.
  3. Consultation with a gynecologist or surgeon to discuss the procedure and potential risks and benefits.
  4. Pre-operative evaluations and tests to ensure the patient is a suitable candidate for surgery.
  5. Surgery to remove both ovaries and fallopian tubes.

After salpingo-oophorectomy:

  1. Recovery period following surgery, including pain management and monitoring for any complications.
  2. Adjustment to hormonal changes and potential menopausal symptoms, such as hot flashes, mood swings, and changes in libido.
  3. Follow-up appointments with healthcare provider to monitor recovery and address any concerns.
  4. Long-term management of menopausal symptoms and potential effects on overall health and well-being.
  5. Monitoring for any potential long-term effects of ovarian removal, such as increased risk of osteoporosis or heart disease.
  6. Continuation of regular screenings and follow-up care for breast cancer.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a salpingo-oophorectomy?

  2. How will this procedure affect my hormone levels and overall health?

  3. Will I need hormone replacement therapy after the surgery?

  4. How will this procedure impact my sexual function and quality of life?

  5. Are there any alternative treatments or options available to me?

  6. How will this procedure affect my risk of developing other health conditions in the future?

  7. What is the recovery process like after a salpingo-oophorectomy?

  8. Will I still be able to have children after this procedure?

  9. How often will I need follow-up appointments or monitoring after the surgery?

  10. Are there any lifestyle changes or precautions I should take after the procedure?

Reference

Authors: Tucker PE, Cohen PA, Bulsara MK, Jeffares S, Saunders C. Journal: Support Care Cancer. 2021 Jan;29(1):369-375. doi: 10.1007/s00520-020-05503-z. Epub 2020 May 5. PMID: 32367228