Evidence map›Paper›PMID 33719814›Full record

ArticleClimacteric : the journal of the International Menopause Society2021

Premature or early bilateral oophorectomy: a 2021 update.

W A Rocca, M M Mielke, L Gazzuola Rocca, E A Stewart

Open access · greenAbstract read
In one paragraph

Article in Climacteric : the journal of the International Menopause Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Women's midlife: the front line of Alzheimer prevention.The Journal of clinical investigation · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Early midlife ovarian removal is associated with lower posterior hippocampal function.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Cognitive Decline in Early and Premature Menopause.International journal of molecular sciences · 2023
    Review
  13. Review
  14. Estrogen and dementia.Maturitas · 2022
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

W A RoccaDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
M M MielkeDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
L Gazzuola RoccaDivision of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
E A StewartWomen's Health Research Center, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

COMPARE-UFP50HS023418 · AHRQ · DUKE UNIVERSITY · PI MYERS, EVAN R. · 2014 to 2019
$20.0M
Sex-Specific Effects of Endocrine Disruption on Aging and Alzheimer's DiseaseU54AG044170 · NIA · MAYO CLINIC ROCHESTER · PI KAPOOR, EKTA · 2018 to 2022
$7.7M
Sex-specific Risk for Vascular Dysfunction and Cognitive DeclineP50AG044170 · NIA · MAYO CLINIC ROCHESTER · PI MILLER, VIRGINIA M · 2012 to 2017
$6.1M
Reproductive risk factors for Alzheimer's disease dementia and pathologyRF1AG055151 · NIA · MAYO CLINIC ROCHESTER · PI MIELKE, MICHELLE M, ROCCA, WALTER A · 2017 to 2017
$4.0M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
AHRQ HHS P50 HS023418NIA NIH HHS P50 AG044170NIA NIH HHS R33 AG058738NIA NIH HHS RF1 AG055151NIA NIH HHS U54 AG044170
6 · The paper itself

Abstract

In this invited review, we discuss some unresolved and controversial issues concerning premature (<40 years) or early (40-45 years) bilateral oophorectomy. First, we clarify the terminology. Second, we summarize the long-term harmful consequences of bilateral oophorectomy. Third, we discuss the restrictive indications for bilateral oophorectomy in premenopausal women to prevent ovarian cancer that are justified by the current scientific evidence. Fourth, we explain the importance of estrogen replacement therapy when bilateral oophorectomy is performed. Hormone replacement therapy is indicated after bilateral oophorectomy until the age of expected natural menopause like in premature or early primary ovarian insufficiency. Fifth, we discuss the relationship between adverse childhood experiences, adverse adult experiences, mental health, gynecologic symptoms and bilateral oophorectomy. The acceptance and popularity of bilateral oophorectomy over several decades, and its persistence even in the absence of supporting scientific evidence, suggest that non-medical factors related to sex, gender, reproduction, cultural beliefs and socioeconomic structure are involved. We discuss some of these non-medical factors and the need for more research in this area.

Indexed as

Menopause, PrematurePrimary Ovarian InsufficiencyAdultEstrogen Replacement TherapyFemaleHumansMenopauseOvariectomyBilateral oophorectomycancer preventionearly ovarian insufficiencyestrogen replacement therapygenetic variantsovarian cancerpremature ovarian insufficiency

Identifiers

PMID33719814
PMCPMC8532166
OpenAlexW3138316377

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.