Premenstrual Syndrome (PMS) (cont.)
IN THIS ARTICLE
In the past, some women with premenstrual dysphoric disorder (PMDD), the severe form of premenstrual syndrome, were treated with surgical removal of the ovaries (oophorectomy) and the uterus (hysterectomy). Without functioning ovaries, a woman's body doesn't make eggs, estrogen, and progesterone and no longer has a menstrual cycle.
Surgical removal of the ovaries for PMDD is highly controversial and rarely done. It is only considered if a woman meets all of the following criteria:
Although oophorectomy ends premenstrual symptoms, it also leads to early menopause and perimenopausal symptoms that tend to be more severe than those of natural menopause. Early menopause also increases the risk of osteoporosis because low estrogen leads to bone density loss. Because of this, women with no ovaries are advised to take estrogen (HRT or ERT) at least until menopausal age to protect against bone loss.
Surgery also has risks related to the procedure or anesthesia. For more information, see the topic Hysterectomy.
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