Women who are at high risk for ovarian cancer may choose to have their ovaries removed even if they don't have ovarian cancer. For women who have already gone through menopause, this surgery may be called prophylactic postmenopausal bilateral oophorectomy. Prophylactic means something done to prevent some undesired outcome. Postmenopausal means after the woman has gone through menopause. Bilateral means both sides (since there are two ovaries.) Oophorectomy means removal of one or both ovaries. After a woman goes through menopause, she is at higher risk of various problems such as cognitive impairment, coronary artery disease, stroke and having weak bones, as well as having reduced sex drive. If the woman has already gone through menopause, removing the ovaries does not make those risks worse. On the other hand, removing the ovaries before menopause will cause menopause to occur soon after the surgery. That increases all the risks such as cognitive impairment, coronary artery disease, stroke, weak bones, and reduced sex drive. The earlier occurrence of those serious problems has to be compared to avoiding the risk of ovarian cancer, as well as breast cancer. (Women with a particular genetic variation will be at high risk of both ovarian cancer and breast cancer.) If a woman is having her uterus removed (for any reason), and is at high risk for ovarian cancer, she may be advised to consider surgical removal of her ovaries and fallopian tubes at the same time to reduce her cancer risk for both ovarian cancer and breast cancer. This is called elective prophylactic salpingo-oophorectomy, or elective PSO. Elective means the surgery is a choice. Salpingo means the fallopian tubes. Oophorectomy means removal of one or both ovaries (in this case, both.) If the woman is close to the age when menopause usually occurs, the choice may be simple. If the woman is several or many years away from the age when menopause would naturally occur, the decision is much more difficult. For younger women having their ovaries removed, these risks can be lowered with immediate and continuous estrogen treatment until at least age 50.= = = Rio (movie) = = =
w ɪ m ɪ n WORD_BOUNDARY h uː WORD_BOUNDARY ɑ ɹ WORD_BOUNDARY æ t WORD_BOUNDARY h aɪ WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY m eɪ WORD_BOUNDARY t̠ʃ uː z WORD_BOUNDARY t ə WORD_BOUNDARY h æ v WORD_BOUNDARY ð ɛ ɹ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY ɹ ɪ m uː v d WORD_BOUNDARY iː v ə n WORD_BOUNDARY ɪ f WORD_BOUNDARY ð eɪ WORD_BOUNDARY d oʊ n t WORD_BOUNDARY h æ v WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY w ɪ m ɪ n WORD_BOUNDARY h uː WORD_BOUNDARY h æ v WORD_BOUNDARY ɔ l ɹ ɛ d i WORD_BOUNDARY ɡ ɔ n WORD_BOUNDARY θ ɹ uː WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY ð ɪ s WORD_BOUNDARY s ɜː d̠ʒ ə ɹ ɹ i WORD_BOUNDARY m eɪ WORD_BOUNDARY b iː WORD_BOUNDARY k ɔ l d WORD_BOUNDARY p ɹ ɑ f ɪ l æ k t ɪ k WORD_BOUNDARY p oʊ s t m ə n ɑ p ɔ z ə l WORD_BOUNDARY b aɪ l æ t ə ɹ ɹ ə l WORD_BOUNDARY uː f ɔ ɹ k t ə m i WORD_BOUNDARY p ɹ ɑ f ɪ l æ k t ɪ k WORD_BOUNDARY m iː n z WORD_BOUNDARY s ʌ m θ ɪ ŋ WORD_BOUNDARY d ʌ n WORD_BOUNDARY t ə WORD_BOUNDARY p ɹ ɪ v ɛ n t WORD_BOUNDARY s ʌ m WORD_BOUNDARY ʌ n d ɪ z aɪ ə ɹ d WORD_BOUNDARY aʊ t k ʌ m WORD_BOUNDARY p oʊ s t m ə n ɑ p ɔ z ə l WORD_BOUNDARY m iː n z WORD_BOUNDARY æ f t ə ɹ WORD_BOUNDARY ð ə WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY h ʌ z WORD_BOUNDARY ɡ ɔ n WORD_BOUNDARY θ ɹ uː WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY b aɪ l æ t ə ɹ ɹ ə l WORD_BOUNDARY m iː n z WORD_BOUNDARY b oʊ θ WORD_BOUNDARY s aɪ d z WORD_BOUNDARY s ɪ n s WORD_BOUNDARY ð ɛ ɹ ɑ ɹ WORD_BOUNDARY t uː WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY uː f ɔ ɹ k t ə m i WORD_BOUNDARY m iː n z WORD_BOUNDARY ɹ ɪ m uː v ə l WORD_BOUNDARY ʌ v WORD_BOUNDARY w ʌ n WORD_BOUNDARY ɔ ɹ WORD_BOUNDARY b oʊ θ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY æ f t ə ɹ ɹ WORD_BOUNDARY ʌ WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY ɡ oʊ z WORD_BOUNDARY θ ɹ uː WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY ʃ iː WORD_BOUNDARY ɪ z WORD_BOUNDARY æ t WORD_BOUNDARY h aɪ ə ɹ WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY ʌ v WORD_BOUNDARY v ɛ ɹ iə s WORD_BOUNDARY p ɹ ɑ b l ə m z WORD_BOUNDARY s ʌ t̠ʃ WORD_BOUNDARY ʌ z WORD_BOUNDARY k ɑ ɡ n ɪ t ɪ v WORD_BOUNDARY ɪ m p ɛ ɹ m ə n t WORD_BOUNDARY k ɔ ɹ ə n ɛ ɹ i WORD_BOUNDARY ɑ ɹ t ə ɹ ɹ i WORD_BOUNDARY d ɪ z iː z WORD_BOUNDARY s t ɹ oʊ k WORD_BOUNDARY æ n d WORD_BOUNDARY h æ v ɪ ŋ WORD_BOUNDARY w iː k WORD_BOUNDARY b oʊ n z WORD_BOUNDARY æ z WORD_BOUNDARY w ɛ l WORD_BOUNDARY æ z WORD_BOUNDARY h æ v ɪ ŋ WORD_BOUNDARY ɹ ɪ d uː s t WORD_BOUNDARY s ɛ k s WORD_BOUNDARY d ɹ aɪ v WORD_BOUNDARY ɪ f WORD_BOUNDARY ð ə WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY h ʌ z WORD_BOUNDARY ɔ l ɹ ɛ d i WORD_BOUNDARY ɡ ɔ n WORD_BOUNDARY θ ɹ uː WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY ɹ ɪ m uː v ɪ ŋ WORD_BOUNDARY ð ɪ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY d ʌ z n ɑ t WORD_BOUNDARY m eɪ k WORD_BOUNDARY ð oʊ z WORD_BOUNDARY ɹ ɪ s k s WORD_BOUNDARY w ɜː s WORD_BOUNDARY ɔ n ð ɪ WORD_BOUNDARY ʌ ð ə ɹ WORD_BOUNDARY h æ n d WORD_BOUNDARY ɹ ɪ m uː v ɪ ŋ WORD_BOUNDARY ð ɪ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY b ɪ f ɔ ɹ WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY w ɪ l WORD_BOUNDARY k ɔ z WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY t ʊ WORD_BOUNDARY ə k ɜː WORD_BOUNDARY s uː n WORD_BOUNDARY æ f t ə ɹ WORD_BOUNDARY ð ə WORD_BOUNDARY s ɜː d̠ʒ ə ɹ ɹ i WORD_BOUNDARY ð æ t WORD_BOUNDARY ɪ ŋ k ɹ iː s ɪ z WORD_BOUNDARY ɔ l WORD_BOUNDARY ð ə WORD_BOUNDARY ɹ ɪ s k s WORD_BOUNDARY s ʌ t̠ʃ WORD_BOUNDARY ʌ z WORD_BOUNDARY k ɑ ɡ n ɪ t ɪ v WORD_BOUNDARY ɪ m p ɛ ɹ m ə n t WORD_BOUNDARY k ɔ ɹ ə n ɛ ɹ i WORD_BOUNDARY ɑ ɹ t ə ɹ ɹ i WORD_BOUNDARY d ɪ z iː z WORD_BOUNDARY s t ɹ oʊ k WORD_BOUNDARY w iː k WORD_BOUNDARY b oʊ n z WORD_BOUNDARY æ n d WORD_BOUNDARY ɹ ɪ d uː s t WORD_BOUNDARY s ɛ k s WORD_BOUNDARY d ɹ aɪ v WORD_BOUNDARY ð ɪ WORD_BOUNDARY ɜː l ɪ ə ɹ ɹ WORD_BOUNDARY ə k ɜː ɹ ə n s WORD_BOUNDARY ʌ v WORD_BOUNDARY ð oʊ z WORD_BOUNDARY s ɪ ɹ i ə s WORD_BOUNDARY p ɹ ɑ b l ə m z WORD_BOUNDARY h ʌ z WORD_BOUNDARY t ə b i WORD_BOUNDARY k ə m p ɛ ɹ d WORD_BOUNDARY t ʊ WORD_BOUNDARY ʌ v ɔɪ d ɪ ŋ WORD_BOUNDARY ð ə WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY ʌ v WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ ɹ WORD_BOUNDARY æ z WORD_BOUNDARY w ɛ l WORD_BOUNDARY æ z WORD_BOUNDARY b ɹ ɛ s t WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY w ɪ m ɪ n WORD_BOUNDARY w ɪ ð WORD_BOUNDARY ʌ WORD_BOUNDARY p ə ɹ t ɪ k j ʊ l ə ɹ WORD_BOUNDARY d̠ʒ ɪ n ɛ t ɪ k WORD_BOUNDARY v ɛ ɹ ɪ eɪ ʃ ə n WORD_BOUNDARY w ɪ l WORD_BOUNDARY b iː WORD_BOUNDARY æ t WORD_BOUNDARY h aɪ WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY ʌ v WORD_BOUNDARY b oʊ θ WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY æ n d WORD_BOUNDARY b ɹ ɛ s t WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY ɪ f WORD_BOUNDARY ʌ WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY ɪ z WORD_BOUNDARY h æ v ɪ ŋ WORD_BOUNDARY h ɜː WORD_BOUNDARY j uː t ə ɹ ɹ ə s WORD_BOUNDARY ɹ ɪ m uː v d WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY ɛ n i WORD_BOUNDARY ɹ iː z ə n WORD_BOUNDARY æ n d WORD_BOUNDARY ɪ z WORD_BOUNDARY æ t WORD_BOUNDARY h aɪ WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY ʃ iː WORD_BOUNDARY m eɪ WORD_BOUNDARY b iː WORD_BOUNDARY ʌ d v aɪ z d WORD_BOUNDARY t ə WORD_BOUNDARY k ə n s ɪ d ə ɹ WORD_BOUNDARY s ɜː d̠ʒ ɪ k ə l WORD_BOUNDARY ɹ ɪ m uː v ə l WORD_BOUNDARY ʌ v WORD_BOUNDARY h ɜː ɹ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY æ n d WORD_BOUNDARY f ɔ l oʊ p iə n WORD_BOUNDARY t uː b z WORD_BOUNDARY æ t WORD_BOUNDARY ð ə WORD_BOUNDARY s eɪ m WORD_BOUNDARY t aɪ m WORD_BOUNDARY t ə WORD_BOUNDARY ɹ ɪ d uː s WORD_BOUNDARY h ɜː WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY ɹ ɪ s k WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY b oʊ θ WORD_BOUNDARY oʊ v ɛ ɹ iə n WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY æ n d WORD_BOUNDARY b ɹ ɛ s t WORD_BOUNDARY k æ n s ə ɹ WORD_BOUNDARY ð ɪ s WORD_BOUNDARY ɪ z WORD_BOUNDARY k ɔ l d WORD_BOUNDARY ɪ l ɛ k t ɪ v WORD_BOUNDARY p ɹ ɑ f ɪ l æ k t ɪ k WORD_BOUNDARY s æ l p ɪ ŋ ɡ oʊ uː f ɔ ɹ k t ə m i WORD_BOUNDARY ɔ ɹ WORD_BOUNDARY ɪ l ɛ k t ɪ v WORD_BOUNDARY p iː ɛ s oʊ WORD_BOUNDARY ɪ l ɛ k t ɪ v WORD_BOUNDARY m iː n z WORD_BOUNDARY ð ə WORD_BOUNDARY s ɜː d̠ʒ ə ɹ ɹ i WORD_BOUNDARY ɪ z WORD_BOUNDARY ʌ WORD_BOUNDARY t̠ʃ ɔɪ s WORD_BOUNDARY s æ l p ɪ ŋ ɡ oʊ WORD_BOUNDARY m iː n z WORD_BOUNDARY ð ə WORD_BOUNDARY f ɔ l oʊ p iə n WORD_BOUNDARY t uː b z WORD_BOUNDARY uː f ɔ ɹ k t ə m i WORD_BOUNDARY m iː n z WORD_BOUNDARY ɹ ɪ m uː v ə l WORD_BOUNDARY ʌ v WORD_BOUNDARY w ʌ n WORD_BOUNDARY ɔ ɹ WORD_BOUNDARY b oʊ θ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY ɪ n WORD_BOUNDARY ð ɪ s WORD_BOUNDARY k eɪ s WORD_BOUNDARY b oʊ θ WORD_BOUNDARY ɪ f WORD_BOUNDARY ð ə WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY ɪ z WORD_BOUNDARY k l oʊ s WORD_BOUNDARY t ə WORD_BOUNDARY ð ɪ WORD_BOUNDARY eɪ d̠ʒ WORD_BOUNDARY w ɛ n WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY j uː ʒ uː ə l i WORD_BOUNDARY ə k ɜː z WORD_BOUNDARY ð ə WORD_BOUNDARY t̠ʃ ɔɪ s WORD_BOUNDARY m eɪ WORD_BOUNDARY b iː WORD_BOUNDARY s ɪ m p ə l WORD_BOUNDARY ɪ f WORD_BOUNDARY ð ə WORD_BOUNDARY w ʊ m ə n WORD_BOUNDARY ɪ z WORD_BOUNDARY s ɛ v ɹ ə l WORD_BOUNDARY ɔ ɹ WORD_BOUNDARY m ɛ n i WORD_BOUNDARY j ɪ ɹ z WORD_BOUNDARY ʌ w eɪ WORD_BOUNDARY f ɹ ʌ m ð ɪ WORD_BOUNDARY eɪ d̠ʒ WORD_BOUNDARY w ɛ n WORD_BOUNDARY m ɛ n ə p ɔ z WORD_BOUNDARY w ʊ d WORD_BOUNDARY n æ t̠ʃ ə ɹ ɹ ə l i WORD_BOUNDARY ə k ɜː WORD_BOUNDARY ð ə WORD_BOUNDARY d ɪ s ɪ ʒ ə n WORD_BOUNDARY ɪ z WORD_BOUNDARY m ʌ t̠ʃ WORD_BOUNDARY m ɔ ɹ WORD_BOUNDARY d ɪ f ɪ k ə l t WORD_BOUNDARY f ɔ ɹ WORD_BOUNDARY j ʌ ŋ ɡ ə ɹ WORD_BOUNDARY w ɪ m ɪ n WORD_BOUNDARY h æ v ɪ ŋ WORD_BOUNDARY ð ɛ ɹ WORD_BOUNDARY oʊ v ə ɹ ɹ i z WORD_BOUNDARY ɹ ɪ m uː v d WORD_BOUNDARY ð iː z WORD_BOUNDARY ɹ ɪ s k s WORD_BOUNDARY k æ n WORD_BOUNDARY b iː WORD_BOUNDARY l oʊ ə ɹ d WORD_BOUNDARY w ɪ ð WORD_BOUNDARY ɪ m iː d ɪ ə t WORD_BOUNDARY æ n d WORD_BOUNDARY k ə n t ɪ n j uː ə s WORD_BOUNDARY ɛ s t ɹ ə d̠ʒ ə n WORD_BOUNDARY t ɹ iː t m ə n t WORD_BOUNDARY ʌ n t ɪ l WORD_BOUNDARY æ t WORD_BOUNDARY l iː s t WORD_BOUNDARY eɪ d̠ʒ WORD_BOUNDARY f ɪ f t i WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY ɹ iː oʊ WORD_BOUNDARY m uː v i WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY iː k w ə l z WORD_BOUNDARY