| Popis: |
To evaluate the differences in symptoms, hormone and lipid levels, and bone density in two groups of women.Two hundred eighty-five women who attended for climacteric study with previous simple hysterectomy were studied. Three groups were formed according to time since surgery (group I10 years, group IIor = 10 and20 years, and group IIIor = 20 years). They were paired by age with a group without hysterectomy (control group) that also attended for climacteric study. None of them were receiving nor had received hormone replacement therapy. Age, body mass index, gestations, deliveries, and climacteric symptoms were analyzed for all subjects. Follicle-stimulating hormone (FSH), estradiol, total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and triglyceride levels were determined, and atherogenic index was calculated. Bone density was measured with a Lunar DPXL appliance. Statistical analysis was done by the chi-square test, Student's t test, and linear regression analysis.There were no differences among groups in body mass index, gestations, or deliveries. Depression was more frequent in the hysterectomy group, who also had lower levels of total cholesterol, HDL cholesterol, and FSH than controls.It was observed that hysterectomy does not have a deleterious effect on hormone or lipid levels, nor on bone density, but depression was a frequent finding in hysterectomized women. |
