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Adverse childhood or adult experiences and risk of bilateral oophorectomy: a population-based case-control study.
BMJ Open
June 2017
Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.
Objectives: Bilateral oophorectomy has commonly been performed in conjunction with hysterectomy even in women without a clear ovarian indication; however, oophorectomy may have long-term deleterious consequences. To better understand this surgical practice from the woman's perspective, we studied the possible association of adverse childhood or adult experiences with the subsequent occurrence of bilateral oophorectomy.
Design: Population-based case-control study.
Four young women from 28 to 35 years old were referred for psychiatric evaluation because of anxiety, depression, and rage following diagnosis and treatment (radical hysterectomy in all plus radiation therapy in two) of carcinoma of the cervix. Negligence and dishonesty on the part of the laboratory that reported their Pap smears as normal when actually they had been either carelessly examined or not read at all intensified their emotional reactions of shock, panic, and fury. Feelings of injustice and victimization and fantasies about the laboratory technicians, who were women in their age group, complicated the clinical picture.
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