Oophorectomy or ovarian conservation at the time of hysterectomy for benign disease

Key content Bilateral salpingo‐oophorectomy is indicated for patients with suspected or confirmed gynaecological malignancy. Risk reduction surgery in a significant family history genetic predisposition to developing breast ovarian cancer. salpingectomy conservation reduces the risk of cancer, whilst preserving function. Oophorectomy prior menopause associated increased all‐cause mortality and related morbidity. Conservative measures such as weight loss, planning lifestyle advice could reduce overall lifetime Learning objectives To understand rationale decision‐making process bilateral conversation at time hysterectomy benign disease. risk–benefit balance performing oophorectomy context high‐risk compared no history. consider conservative that do not involve oophorectomy. Ethical issues In absence it ethical perform routine perimenopausal even postmenopausal women? Is cancer while increasing menopause‐related morbidity? offer female sterilisation procedure?