Studd J
Chelsea & Westminster Hospital, London, UK.
Climacteric. 2006 Jun;9(3):164-6. doi: 10.1080/13697130600774489.
The controversy surrounding prophylactic oophorectomy is discussed. The importance of adequate hormone replacement with estradiol and particularly testosterone is discussed as is the severe limitation of considering publications which describe the unacceptable practice of hysterectomy and bilateral salpingo-oophorectomy without hormone replacement therapy. There remains a good argument for removal of ovaries at hysterectomy in women over the age of 40 with full discussion, consent and appropriate hormone replacement.
本文讨论了围绕预防性卵巢切除术的争议。文中探讨了使用雌二醇尤其是睾酮进行充分激素替代的重要性，以及审视那些描述未进行激素替代疗法的子宫切除术和双侧输卵管卵巢切除术这种不可接受做法的出版物存在的严重局限性。对于40岁以上女性在子宫切除术中切除卵巢，在进行充分讨论、征得同意并给予适当激素替代的情况下，仍有充分的理由。
