Our Summary

This research paper looks into the mental and sexual impacts of a surgery that is often performed to reduce the risk of ovarian cancer in women with certain genetic mutations. The surgery, called risk-reducing bilateral salpingo-oophorectomy (RRBSO), involves removing both ovaries and fallopian tubes, and it immediately triggers menopause.

The researchers went through existing studies and identified five main topics related to the surgery: the need for information, the psychological effect, the impact on sexual health, the support from partners, and the use of hormone replacement therapy.

They found that the surgery has a wide range of impacts on different women, but problems related to sexual health were common and often caused significant distress. These issues were also often not well-explained before the surgery. The study suggests that more needs to be done to prepare women for the psychological and sexual side effects of the surgery.

FAQs

  1. What is risk-reducing bilateral salpingo-oophorectomy (RRBSO) and why is it performed?
  2. What are the common psychological and sexual side effects of the RRBSO surgery?
  3. According to the research, what needs to be improved in the preparation of women undergoing RRBSO surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about salpingo-oophorectomy is to make sure to discuss any concerns or questions about the surgery, particularly regarding the psychological and sexual impacts, with your healthcare provider before undergoing the procedure. It is important to be well-informed and prepared for the potential changes that may occur after the surgery, and to explore options for managing any resulting symptoms or issues, such as hormone replacement therapy. Additionally, seeking support from partners or loved ones during this time can also be beneficial for emotional well-being.

Suitable For

Patients who are typically recommended for salpingo-oophorectomy include:

  1. Women with a high risk of developing ovarian cancer, such as those with a family history of the disease or carrying certain genetic mutations (such as BRCA1 and BRCA2).
  2. Women with a history of breast cancer who may benefit from reducing their risk of developing ovarian cancer.
  3. Women with certain gynecological conditions, such as ovarian cysts or tumors, that may require the removal of the ovaries and fallopian tubes.
  4. Women with hormone-sensitive cancers, such as certain types of breast cancer, who may need to have their ovaries removed as part of their treatment plan.
  5. Women who have completed childbearing and are looking to reduce their risk of ovarian cancer or other gynecological conditions.
  6. Women who have a strong family history of ovarian or breast cancer and wish to take proactive measures to reduce their risk.

It is important for patients considering salpingo-oophorectomy to discuss their individual risk factors and medical history with their healthcare provider to determine if the surgery is the right choice for them. Additionally, patients should be provided with thorough information about the potential psychological and sexual impacts of the surgery to make an informed decision.

Timeline

Before the surgery:

  • Patient learns about their increased risk for ovarian cancer due to genetic mutations
  • Patient discusses options with healthcare provider, including the possibility of a salpingo-oophorectomy
  • Patient decides to undergo the surgery and prepares mentally for the upcoming procedure
  • Patient may experience anxiety or fear about the surgery and its potential impacts on their health and fertility

After the surgery:

  • Patient undergoes the salpingo-oophorectomy procedure and immediately enters menopause
  • Patient may experience physical symptoms of menopause such as hot flashes, night sweats, and mood swings
  • Patient may also experience psychological impacts such as depression, anxiety, or feelings of loss related to the removal of their ovaries
  • Patient may experience changes in sexual health, including decreased libido, vaginal dryness, and pain during intercourse
  • Patient may seek support from their partner or healthcare provider to navigate these changes and explore options for hormone replacement therapy

Overall, the patient may experience a range of emotions and physical changes before and after a salpingo-oophorectomy, and it is important for healthcare providers to provide comprehensive information and support to help patients cope with the impacts of the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about salpingo-oophorectomy include:

  1. What are the risks and benefits of undergoing a salpingo-oophorectomy for me personally?
  2. How will the surgery impact my hormone levels and what are the potential side effects of immediate menopause?
  3. What steps can I take to manage any potential psychological distress that may arise from the surgery?
  4. How will the surgery affect my sexual health, and what resources or support can I access if I experience any difficulties in this area?
  5. What are the options for hormone replacement therapy after the surgery, and how can it help alleviate symptoms of menopause?
  6. Are there any alternative treatments or preventative measures I should consider before deciding to undergo a salpingo-oophorectomy?
  7. How can my partner support me through the process of undergoing this surgery and adjusting to the changes it may bring to our relationship?
  8. Are there any specific lifestyle changes or precautions I should take after the surgery to promote overall well-being and reduce any potential long-term effects?

Reference

Authors: Hickey I, Jha S, Wyld L. Journal: Gynecol Oncol. 2021 Mar;160(3):763-770. doi: 10.1016/j.ygyno.2020.12.001. Epub 2020 Dec 11. PMID: 33317909