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Does having one ovary cause early menopause

The only difference between a woman with one ovary and a woman with both ovaries is that the woman with one ovary may go through menopause sooner

Possibly: Often women with one ovary will start developing menopausal symptoms such as vaginal dryness and hot flushes. But cessation of menstrual cycles usually isn't effected as much. 5.6k views Reviewed >2 years ag Yes, it is possible that menopause may have been pushed up a bit earlier with the loss of the one ovary; but 47 is quite a normal time to be going through menopause. The Nuvaring is quite a good.. Some research suggests, however, that women with one ovary may experience menopause earlier than women with two ovaries and may be more likely to conceive a child with Down Syndrome. These are issues that you may want to bring up with your health care provider I had one ovary removed due to several large cysts when I was 31. The other was also cystic, but the cysts were smaller, so the surgeon left it in as I would have had early menopause if she'd removed it too. I'm now going through menopause at the.

Some chromosomal defects can lead to early menopause. For example, Turner syndrome (also called monosomy X and gonadal dysgenesis) involves being born with an incomplete chromosome. Women with.. If you've undergone surgeries, like having an ovary removed (single oophorectomy) or uterus removal (hysterectomy), your body tends to have less oestrogen and progesterone, which can lead to premature menopause. However, if you have both ovaries removed, it results in instant menopause. 6 Being anorexic, bulimic, or an elite athlete can cause the ovaries to sputter.It's not true menopause, where the ovaries are pooping out, however, Minkin explains. In really lean women, it's. Perimenopause refers to the years before menopause, when the ovaries gradually start to make less estrogen. During this time, estrogen levels fluctuate, which can cause heavy, irregular periods. Early menopause happens for the same basic reason that menopause in general happens: something disrupts the cyclic production of hormone from the ovaries, Joseph Chang, MD, senior vice president..

One A Day Menopause - Review - Alert - Shocking Facts Here

  1. One ovary is enough to avoid changes in fertility potential and hormonal function, Siedhoff says, which means you'll keep menstruating, avoid the health risks of early menopause, and may even..
  2. Women who have some surgeries are at a higher risk for early menopause. This includes women who have one ovary removed (single oophorectomy) or a removal of the uterus (hysterectomy). These..
  3. The most likely explanation for the stable age of menopause after oophorectomy is that the rate of follicle atresia is relatively constant in each ovary and independent of ovulation. In other words, each ovary has an independent clock and fate
  4. Premature menopause can be caused by a medical condition or treatment or it may have no known cause (spontaneous). Possible factors that could cause premature menopause include: Having a surgery that removes the ovaries
  5. Having one ovary can cause early menopause by as much as five years. That said, my night sweats have all but stopped and I finally feel like my old self again. Please don't get discouraged or worry
  6. Primary ovarian insufficiency is sometimes confused with premature menopause, but these conditions aren't the same. Women with primary ovarian insufficiency can have irregular or occasional periods for years and might even get pregnant. But women with premature menopause stop having periods and can't become pregnant
  7. For some women, early menopause is brought on by surgery that removes the ovaries. A woman who carries a BRCA gene mutation, for example, may opt to have her ovaries and fallopian tubes taken out.

Menopause With One Ovary Healthy Livin

Early menopause can happen naturally if a woman's ovaries stop making normal levels of certain hormones, particularly the hormone oestrogen. This is sometimes called premature ovarian failure, or primary ovarian insufficiency. The cause of premature ovarian failure is often unknown, but in some women it may be caused by Upon removal of the ovaries, a premenopausal person will immediately go into menopause (called surgical or induced menopause). Because they no longer have ovaries to produce estrogen, they may experience classic symptoms of estrogen depletion, such as hot flashes and/or vaginal dryness. 1 That is a stage of transition in which a woman doesn't have a regular period, and it comes and goes because the ovaries are still active. Ovarian pain, menopause, and dementia. Ovulation is the first cause of ovarian pain during this stage. It occurs because the ovaries continue to function and swell as they did during the fertile stage

The term early menopause is usually used if you go through the menopause when you are between 40 and 45 years of age. However, it is different from the menopause, as the natural menopause is irreversible. With premature ovarian insufficiency your ovaries are not working properly and have stopped producing eggs early Menopause occurs because without any ovaries, the body no longer has estrogen or progesterone. Menopause can cause symptoms including hot flashes, moodiness, slowed metabolism, and vaginal dryness, according to the ACOG. For more information about what happens to a woman's hormonal state when one or both ovaries are removed, talk with your.

Another possible symptom is ovary pain after menopause. Many women have cramps and other kinds of pain. Thus, ovary pain is one of them. You may frequently see online questions left by women who seek the answers on the Internet. They wonder why they have ovary pain after sex or feel pain in ovary without any obvious reason As an example, Turner's syndrome causes the ovaries to form abnormally, which then leads to early menopause. This can also be tested if premature menopause is identified as a possible cause Hi Ladies - I have one ovary left and all I can say is whether or not it's working - I feel like I'm going a little crazy. Definetly not myself and can only liken my mood to the worst PMS ever; along with (and this is new): NO libido, not sleeping well, a lack of feelings of wellbeing - mostly I just feel irritated, angry, or indifferent 24/7

1. Introduction. Premature menopause refers to menopause that occurs before age 40 years, and early menopause refers to menopause that occurs at or before age 45 years, both ranges being well below the median age of natural menopause (age 51 years) [].Premature menopause or early menopause can be spontaneous or induced; if induced, it can be due to medical interventions such as chemotherapy or. Hello everyone. I was wondering whether anyone has had just one ovary removed and how that affected them. I'm 46, had my left ovary and fallopian tube removed 5 weeks ago. I was told by my gynae surgeon that I wouldn't go into menopause, because I would still have my other ovary. But I have felt terrible since the day after the surgery

Premature ovarian failure is when the ovaries stop working before age 40. It's not the same as menopause. Learn the symptoms and causes Early menopause is one of them. If the mother or sister of the woman had an early onset of menopause, the woman is more likely to have one too. 6. Chemotherapy And Radiation Therapy. Chemotherapy to treat ovarian cancer or any cancer in the pelvic area can damage the ovaries, contributing to the lack of egg production Early menopause happens for the same basic reason that menopause in general happens: something disrupts the cyclic production of hormone from the ovaries, Joseph Chang, MD, senior vice president. I agree - Any procedure that disrupts the normal functioning of the reproductive system can wreak havoc including early menopause or even a surgical type menopause (complete ovarian failure). The procedures that can cause more harm than good are tubals, hysterectomies, ovary removals (even just one ovary), Fallopian tube removal, endometrial. Early menopause, on the other hand, can start in the 30's or early 40's, in women who have at least one ovary. Premature menopause has the advantage that the whole process is usually quicker than regular menopause. 1% of women will have finished their mid life transition by the age of 40

only one ovary and chance of early menopause? Answers

  1. There is a persistent rumor that undergoing IVF or other fertility treatments can bring on an early menopause. The general theory is that because the fertility drugs stimulate the ovaries to mature and release 10 to 15 eggs (instead of the one egg released during the body's natural ovulation) they may lead to running out of eggs earlier
  2. Early menopause can either happen on its own or be caused by certain medical treatments, though many times the cause is unknown. Chromosome defects, like Turner's syndrome, can affect ovary.
  3. The risk of heart disease doubles for women who have their ovaries removed at a young age, Poynor said. Still, for women who face a high risk of developing ovarian cancer, a potentially lethal disease, the benefits of the surgery to remove the ovaries often outweigh the risks of early menopause, Poynor said. Jolie Pitt said her risk of ovarian.
  4. Menopause can also be the reason behind muscle tension. Changing hormone levels can cause muscles in the back, neck and shoulders to tighten or strain. You may also experience muscle stiffness, soreness and aches throughout your body. Joint Pain. Declining estrogen levels during menopause can contribute to joint pain
  5. About PCOS. Polycystic ovary syndrome (PCOS) is a common endocrine disorder involving an imbalance of reproductive hormones that affects up to 10 percent of women of reproductive age.. The hormonal imbalance often causes multiple fluid-filled sacs (cysts) in the ovaries from eggs not developing or being released during ovulation as they normally do during a healthy menstrual cycle, hence the.
  6. Follow Us: Following a full hysterectomy, one ovary still produces enough hormones to keep a woman out of early menopause, states the American Cancer Society. Usually, a surgeon leaves one ovary if a woman is under 40. Women over 50 usually have both ovaries removed during surgery
  7. However, sometimes removing the uterus causes trauma to the ovaries, cutting off their blood flow and shutting them down. Most of these cases are temporary, but for some women, it is permanent. The risk of going through an early menopause from a partial hysterectomy is low, but it does happen to some women

one ovary, early menopause?: Menopause Community

  1. Causes of premature & early menopause. There are many causes of premature or early menopause. It is clear that surgery to remove the ovaries (oophorectomy) results in instant menopause, and chemotherapy and radiotherapy treatments cause ovaries to weaken, but the causes of POI are not always as clear. In about 60% of women, a cause cannot be found
  2. It can also trigger an early menopause as well. Hysterectomy. One of the most common causes is that of a hysterectomy. If you have undergone surgery to remove your uterus, ovaries and Fallopian tubes or removal of the ovaries only then either of these will trigger an early menopause. Removing the ovaries causes an immediate drop in oestrogen.
  3. There are several causes of an imbalance of menopause androgen levels, including, but not limited to: Polycystic ovary syndrome. Polycystic ovary syndrome (PCOS) is an endocrine system disorder that can cause the ovaries to make extra amounts of testosterone. Though most common in premenopausal women, the condition can continue into menopausal.
  4. Premature ovarian failure is a condition in women where the ovaries stop producing eggs unusually early, before the age of 40. This is different from the menopause, which generally occurs around the age of 50
  5. After the first ectopic, it took me three years to get pregnant afterward, so I do believe it significantly reduces your chances of pregnancy with one tube, but it does happen. I was just unlucky that it was in my remaining tube. Oh, and jenny tube removal doesn't cause menopause; it is the ovaries which cause menopause. Hope this helps
  6. Another possible symptom is ovary pain after menopause. Many women have cramps and other kinds of pain. Thus, ovary pain is one of them. You may frequently see online questions left by women who seek the answers on the Internet. They wonder why they have ovary pain after sex or feel pain in ovary without any obvious reason
  7. Women who have their ovaries removed before menopause are at an increased risk of developing memory problems or dementia and movement disorders such as Parkinson's disease, according to two.

While studies have shown that use of hormone therapy after menopause may increase a woman's risk of breast cancer, other studies suggest early menopause can cause its own serious risks. Women who undergo prophylactic oophorectomy and don't use hormone therapy up to age 45 have a higher rate of premature death, cancer, heart disease and. They have severe side effects and a menopause can be one of them. 4. Removal of ovaries or uterus: Both ovary removal and uterus removal end the menstrual cycle and cause menopause. 5. Family history: Premature Menopause can occur if the woman's family has a history of experiencing menopause at an early age. 6 Before, During & After Menopause is the normal, natural transition in life that begins between the ages of 35-55. During this time, your ovaries get smaller and stop producing the hormones estrogen and progesterone that control the menstrual cycle, your eggs are depleted and fertility declines. Eventually, you are no longer able to become pregnant However, some women with POF do still have periods even if their ovaries are not regularly producing eggs; it is not the same as premature menopause, though it can eventually lead to it and is a. But, some women can experience menopause early, either as a result of a surgical intervention (such as removal of the ovaries) or damage to the ovaries (such as from chemotherapy). Menopause that occurs before the age of 45, regardless of the cause, is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause

Wow, glad I have stumbled across this site, I am 46 years old,and have a bloodclotting disorder, had a hysterectomy at age 41, they left both ovaries, started having pain in abdomen, and found cyst of my left ovary, it grew in size over a month of observation, obgyn decided to do surgery, asked if they could only remove cyst, doc said the cyst. Ovarian cysts form in or on a female's ovaries as fluid-filled sacs. Most of the time, they are painless and cancer-free. However, they also make their presence known from time to time and cause trouble for other women. If you're curious to know if you have an ovarian cyst, here are 10 red flags that could indicate you have one The blood supply to your ovaries is affected after this procedure, and ovarian function can be altered following a tubal ligation. (1) Since the blood supply to the ovaries is damaged during the surgery, it can cause a rapid decline of estrogen and progesterone, which are made by the ovaries Scientists found that removal of ovaries before the age of 45 could be putting women at risk of an early death. Around 1.2 million oophorectomies are done each year in the US. The procedure could be unilateral, removing one ovary or bilateral, removing both ovaries

Most women don't have to face the transition known as menopause - and its symptoms - until their late '40s or early '50s. But when a woman has a hysterectomy, menopause symptoms can come on early - and with more severity - than the norm. It is vital that women understand the factors that lead to menopause symptoms after a hysterectomy and communicate with their medical. Early or premature menopause occurs when the ovaries are no longer making certain hormones. Therefore, menstrual periods stop at a younger age than expected. The reason for early or premature menopause varies, but it is often the result of surgery, like a hysterectomy in which the uterus and/or ovaries are removed

What health effects will a woman with one ovary experience

In this way, appearing the early menopause symptoms. Chromosomal Irregularity Some cases of early menopause symptoms are caused by defects on an X chromosome, also known as fragile X syndrome. Women have two X chromosomes and even though only one of these chromosomes is active, a defect on either one can cause early menopause Cancer treatments that can cause early menopause include: Surgery. Having both ovaries removed causes menopause to happen right away. If you are age 50 or younger, your provider may try to leave an ovary or part of an ovary if possible. This can keep you from having early menopause. Chemotherapy (chemo) Dementia More Common in Women Who Lose Ovaries in Their 30s and 40s. April 5, 2006 -- Women who undergo ovary removal before menopause may have an increased risk of dementia, a Mayo Clinic study. However, menopause can also occur in women early in their 30's or late in their 60's. Menopause also does not happen immediately overnight but is a process that occurs gradually. The transition to menopause usually begins when the duration of a woman's menstrual cycle changes and ceases with the final day of the menstrual period Technically speaking, menopause is considered early when it takes place before the age of 40. There are factors that often impact the ability to go into early menopause following UFE. Because of this, it may be better to say premature menopause. A very rare complication called non-target or inadvertent embolization may trigger menopause too soon

Ovary removal in your 30's - Questions about early menopause and hormone therapy. I had an immature teratoma (ovarian germ cell cancer - stage 1 grade 3) surgically removed (right ovary and fallopian tube) treated with PEB (cisplatin, etoposide, and bleomycin) back in late 2013/early 2014. My prognosis was good, as it was caught early, but due. Girls are born with over a million ovarian follicles. Each follicle contains an ovum. At ovulation one of the ovaries develops a mature ovum within its follicle and releases it. From puberty to menopause, the ovaries take turns developing a mature ovum each month, one month in the right ovary, the next month in the left ovary In early menopause, the woman loses all of her eggs prematurely and cannot reproduce anymore. Typically, premature menopause is preceded by a period of diminished ovarian reserve. AMH can detect diminished ovarian reserve. This can happen even at a younger age, and we encourage women of all ages to check their AMH. Some women have a genetic. ET also helps with other early menopause symptoms, such as vaginal dryness and sleep problems. ET does have risks, including a slight risk of stroke and blood clots. But for most women in their 20s, 30s, or 40s who have had their ovaries removed, the benefits of ET are stronger than these risks

Can you have early menopause if you only have one ovary

Cancer can start in the epithelial cells that cover the ovaries, on the germ cells that produce the eggs or the connective tissue that holds the ovaries together and produces estrogen and progesterone. Sometimes, when a woman has a hysterectomy, doctors will leave the ovaries behind to prevent her from entering early menopause However, the lifetime risk of developing ovarian cancer is one in 52 in the UK, and the removal of a metabolically active organ such as the ovary may have harmful effects in the long term Primary ovarian insufficiency (POI), also known as premature ovarian failure, happens when a woman's ovaries stop working normally before she is 40. Many women naturally experience reduced fertility when they are about 40 years old. They may start getting irregular menstrual periods as they transition to menopause Menopause is defined as the permanent cessation of ovulation and hence menstruation due to ovarian failure. The median age of menopause is 51 years. However, early menopause might occur at 40 years of age while late menopause might happen as late as 62 years of age. Premature menopause is defined as

When menopause occurs before the age of 40, it is referred to as premature menopause. One medical cause of premature menopause is premature ovarian failure. Other causes of premature menopause include damage to the ovaries by chemotherapy and/or radiation treatments, or surgical removal of the ovaries Antibodies may attack your own ovarian tissue, your endometrium, or one or more hormones that regulate ovulation. This can happen in the case of premature menopause, and if you have a family history of autoimmune disorders, it is a great possibility that this is the cause for your early menopause ANSWER: For women who have their ovaries removed before 45 and before they reach menopause naturally (usually around 51 in the U.S.), menopausal hormone therapy, or MHT, often is recommended to prevent the negative effects of early estrogen loss. At 55, though, MHT likely would not be useful for you to prevent chronic disease

Premature menopause affects 1% of women under the age of 40. 1  The only difference between premature menopause and early menopause is the timing. Premature menopause occurs before age 40 and early menopause happens after age 40 but before age 45. 2  Many of the same causes of premature menopause also cause early menopause Cancer of the uterus or ovary can cause abdominal pain, but this will also be accompanied by other symptoms like unexplained weight loss, abdominal bloating, vaginal bleeding, and fatigue. Other symptoms to be aware of in addition to cramps and pain include lower back pain, fatigue, swollen legs, and pain during urination, sex, or bowel movements

Genetics: This is one of the factors that experts have identified as one of the causes of premature menopause. Olamoyegun explained that even though it is a potent factor, it does not mean that. Compared with age at normal menopause (defined as menopause that occurs at 45-54 years of age), the difference in life expectancy for women who experienced early menopause was -3.1 years overall and -3.3 years in women without diabetes. The authors suggest the need for future research to examine the mechanisms behind this association to help.

I was told countless times that removing one ovary would make no difference to my hormones and cause no symptoms. NOT SO. I started crying for no reason 2 days after surgery and pretty much didnt stop for weeks. I had hot flushes in the night where I woke up ringing wet with my hair stuck to my face and had to have a fan on all night One percent of women under the age of 40 experience premature So can having your ovaries surgically removed before the age of 40, Dr. Atkinson notes. The cause of early menopause can be. 'Early menopause can also happen due to surgery, such as having your ovaries removed, or a hysterectomy - this may be referred to as surgical menopause,' says Claire Hardy. 'An early menopause can also occur because of cancer treatment that affects hormone levels - this is sometimes called chemically-induced menopause.'

The average age for women to start menopause in the UK is 51, but about one in 100 start before 40. In a few exceptional cases some women become menopausal in their 30s, or even younger Chemo and Radiation. If you've undergone chemo or radiation therapy, it is possible that this is the root cause of your early menopausal symptoms. You see, radiation and chemotherapy can block ovarian function. Not that some women don't actually experience early menopause symptoms until they're well beyond therapy, like two years later Symptoms of Ovarian Cancer After Menopause. Symptoms of Very Early Stage Ovarian Cancer. Referring to a cancer's stage is referring to how it spreads and grows. The earliest stages mean the cancer is still in the ovary and this is called stage one. It is common for women with early stage cancer to not have symptoms. If they do, some symptoms. During late perimenopause, falling estrogen levels can cause vaginal tissue to become thinner and drier. Vaginal dryness (which usually becomes even worse after menopause) can cause itching and irritation. It may also be a source of pain during intercourse, contributing to a decline in sexual desire at midlife. Uterine bleeding problems

Premature menopause means a woman's ovaries have spontaneously stopped working before she has reached the age of 40 years. Women can be affected in their teens or early 20s. About one in 1000 women reach menopause before the age of 30. unknown causes - in the vast majority of cases (60%), the cause can't be found Not exactly, no. Although menopause reduces the hormones progesterone and estrogen, this reduction of hormones does not take care of the effects of having too much testosterone, as women with PCOS do. Although testosterone levels do decrease in women with PCOS, studies have found that this does not occur until about 20 years post-menopause One medical cause of premature menopause is premature ovarian failure. Other causes of premature menopause include damage to the ovaries by chemotherapy and/or radiation treatments, or surgical removal of the ovaries. The symptoms of premature menopause include mood swings , vaginal dryness , cognitive changes, hot flashes , decrease in sex. These are a few causes of enlarged ovaries: Ovulation: As an egg matures and prepares to be released, it can cause the ovary it's in to swell. When the ovary releases the egg, ovulation occurs. This usually happens around day 14 of a 28-day cycle. Ovulation can cause a change or increase in vaginal discharge and slight cramping

Early Menopause: Causes, Symptoms, and Mor

Angelina Jolie Pitt's surgery to remove her ovaries has the side effect of putting her into early menopause, a condition which itself comes with some health risks, experts say production can cause early menopause. This includes chemotherapy for cancer or an oophorectomy (removal of the ovaries). In these cases, your doctor will help prepare you for early menopause. But you can also go into menopause early even if your ovaries are still intact.There are several known causes of early menopause, although sometimes th The good news is you're nearly 50 years old and it seems like so far having only one fallopian tube (and possibly only one ovary) has not had much of an effect on your premenopausal years Menopause is the natural process through which a woman's ovaries stop producing estrogen, halting fertility and menstruation. The average age of menopause is fifty-one years old. Early menopause happens when this process begins at a younger age than usual. (When menopause begins before the age of forty-five, it is considered early menopause; if the process begins before the age of forty. It can be quite a shock to experience hot flashes and other menopause symptoms if you still have your ovaries. That's one of the reasons you kept them - you wanted to avoid menopause and all its symptoms. This isn't fair. Thankfully, what you're experiencing should be temporary - the hot flashes may not even be from menopause issues

Chemotherapy and radiation therapy for cancer and other conditions can cause temporary or permanent loss of your menstrual periods, which can lead to menopause and infertility. If this occurs before the age of 40, it is known as premature ovarian insufficiency (POI) and between the ages of 40 and 45, it is known as early menopause More than half had their ovaries removed, too. Over the past decade, a number of studies have produced conflicting answers to the question of whether ovary removal abruptly raises risks that tend to go up after natural menopause too, including death from heart disease, cancer and other causes

8 Things That Can Cause Women To Go Into Early Menopause

If women with premature menopause do not take estrogen therapy until they reach the average age for menopause (about age 51), the risk of mood disorders, Parkinson disease, dementia, and coronary artery disease is increased. If the cause is a disorder that confers a Y chromosome, the risk of cancer of the ovaries is increased For some conditions, you may need only one ovary removed (unilateral oophorectomy). With the remaining ovary, you'll still have a menstrual cycle and conceive naturally. If both of your ovaries are removed (bilateral oophorectomy), but your uterus remains, you may be able to become pregnant using assisted reproductive technology Occasionally, it may be necessary to remove both ovaries in women who have not been through the menopause. This will trigger an early menopause and mean you no longer produce any eggs. However, it may still be possible to have a baby by having a donated egg implanted into your womb Many scientists assume that it is linked to early menopause. Thus, it may cause uncommon bleeding and prolong the phase. Hysterectomy. There is one operation called a hysterectomy. It removes the uterus. In the meanwhile, it does not remove ovaries that produce estrogen. Commonly, it does not induce premature menopause

9 Conditions That Increase Your Risk Of Early Menopause

One of the most asked questions is usually whether IVF/fertility drugs can induce early menopause?The answer is Absolutely not. The general theory is that because the fertility drugs stimulate the ovaries to mature and release 10 to 15 eggs (instead of the one egg released during the body's natural ovulation) they may lead to running out. Polycystic Ovary Syndrome and Menopause Polycystic ovary syndrome ( PCOS ) is a hormonal disorder in which a woman's ovaries produce more androgens, commonly known as male hormones, than she needs

The abrupt menopause brought on by surgical removal of the ovaries often results in exaggerated and more severe symptoms of menopause (such as hot flashes, changes in sex drive, and mood changes) than when menopause occurs naturally. If one or both ovaries are left intact and only the uterus is removed, the ovaries are still capable of hormone. Premature ovarian failure, a cause of ovulatory dysfunction, is a disorder believed to be due to genetic abnormalies which leads to the faster depletion of eggs in an ovary. Women who have this disorder lose more eggs during menstruation than normal women, eventually leading to early menopause During early menopause transition, the menstrual cycles remain regular but the interval between cycles begins to lengthen. Hormone levels begin to fluctuate. Ovulation may not occur with each cycle. The term menopause refers to a point in time that follows one year after the last menstruation. During the menopausal transition and after menopause, women can experience a wide range of symptoms Some cancer treatments can cause menopause. Medical treatments such as chemotherapy or radiation can cause menopause if the ovaries are permanently damaged in treatment. Not all women who go through chemotherapy or radiation will experience induced menopause. Sometimes there can be damage to the ovaries, but it is only temporary Hysterectomy tied to early death if ovaries are removed. Scientists say removing ovaries during a hysterectomy could increase a woman's risk for heart disease, cancer, and premature death. A 10.

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