Oophorectomy

Definition

An oophorectomy is the surgical removal of one (unilateral) or both (bilateral) ovaries. Bilateral oophorectomy induces surgical menopause.

Indications

• Ovarian cancer or malignancy prevention (BRCA+ patients)
• Large ovarian cysts or tumors
• Endometriosis
• Pelvic inflammatory disease
• With hysterectomy for benign or malignant conditions

Postoperative Nursing Care

• Pain management
• Monitor bleeding, assess incision
• Encourage early ambulation (DVT prevention)
• Bowel sound assessment (return of peristalsis)
• Foley catheter management

Surgical Menopause Considerations

Abrupt drop in estrogen causes hot flashes, mood changes, osteoporosis risk, cardiovascular risk. Discuss hormone replacement therapy options if not contraindicated.

NCLEX Relevance

Bilateral oophorectomy in premenopausal woman = surgical menopause and related concerns.