Cadernos de Saúde Pública
On-line version ISSN 1678-4464
HOBEIKA, João Daniel et al. Pre-menopausal simple hysterectomy and post-menopausal female bone mineral density. Cad. Saúde Pública [online]. 2002, vol.18, n.6, pp. 1705-1712. ISSN 1678-4464. http://dx.doi.org/10.1590/S0102-311X2002000600025.
This study aimed to evaluate the bone mineral density (BMD) of post-menopausal women with previous pre-menopausal hysterectomy including bilateral ovarian conservation compared to a group of non-hysterectomized women with natural menopause. Data from a cross-sectional study of 30 pre-menopausally hysterectomized women evaluated in the post-menopause were compared with 102 naturally post-menopausal women, analyzing their respective bone densitometry, measuring the femoral and lumbar spinal BMD. Multiple regression analysis of the 132 women showed that age and body mass index (BMI) were heavily associated with femoral and lumbar spinal BMD, BMI directly associated, and age inversely associated with BMD. In addition, 30 hysterectomized women were matched by age and BMI to the 30 non-hysterectomized women, and bone densitometry did not show significant differences in BMD. These findings suggest that pre-menopausal hysterectomy with bilateral ovarian conservation does not appear to cause an additional reduction in bone mass when evaluated in the post-menopausal phase.
Keywords : Densitometry; Ovary; Osteoporosis; Menopause; Hysterectomy.