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Comparison of the prevalence rates of metabolic disorders between two groups of women undergone surgically induced menopause by hysterectomy and bilateral oophorectomy: A population-based study
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Maryam Farahmand1    , Fahimeh Ramezani Tehrani 2, FFereidoun Azizi3 |
1- Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , farahmand@endocrine.ac.ir
3- Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. |
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Abstract: (1907 Views) |
Background and Aim: Surgically induced menopause after bilateral oophorectomy, leads to a sudden drop in the secretion of sex hormones from the ovaries. Hysterectomy is another surgical procedure that leads to menopause, without an abrupt drop in the secretion of sex hormones. The aim of this study was to compare the prevalence rates of metabolic disorders between hysterectomized and oophorectomized women.
Materials and Methods: This cross-sectional study included postmenopausal women participating in Tehran Lipid and Glucose Study. Initially, 549 surgically induced postmenopausal women (age range of 20-70 years) entered the study. Then, all the subjects with menopausal age of 50 years or older were excluded. Data were extracted from Tehran Lipid and Glucose Study Questionnaires.
Results: The mean age of the participants and age at menopause were 60.8 ± 9.8 and 43.7 ±4.6 years, respectively. The prevalence rate of the metabolic syndrome in the postmenopausal women who had undergone bilateral oophorectomy (71.3%) was higher than that in the hysterectomized women (66.5%), but this difference was not significant. Prevalence of pre-hypertension was higher in the oophorectomized women after adjusting for confounding variables (31.7% vs. 23.0%, P = 0.01).
Conclusion: Our findings showed the prevalence rate of pre-hypertension was higher in oophorectomized women. Therefore, screening measures for the prevention of this disorder in these women are necessary. |
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| Keywords: Noncommunicable disease, Menopause, Surgical menopause, Metabolic syndrome, Metabolic disorders |
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Full-Text [PDF 394 kb]
(608 Downloads)
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Type of Study: Original Research |
Subject:
Medicine - Obstetrics and Gynecology
Received: 2019/12/1 | Accepted: 2020/03/10 | Published: 2021/01/29
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