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KMID : 0358419940370102037
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Korean Journal of Obstetrics and Gynecology
1994 Volume.37 No. 10 p.2037 ~ p.2046
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Effects of Menopausal Symptoms, Hysterectomy and Bilateral Salpingoophorectomy on Bone Mineral Contents Using Dual Energy X-Ray Absorptiometry
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고석봉
이광희/곽양수/이두진/박윤기/이승호
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Abstract
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Postmenopausal women suffer from hip fractures caused by osteoporosis that is primarily a consequence of the low estrogen levels of menopause.
Bone density and the rate of bone loss may predict the occurrence of osteoporosisrelated symptoms in menopausal women. And surgically induced menopause is followed by a reduction of bone density throughout the body, so increase the risk of
osteoporotic
fractures.
The purpose of this study was to examine the association between natural and surgically induced menopausal women with mean bone mineral densities.
After exclusion of women with spinal and other abnormalities, this study included 160 subjects: 84 who underwent natural menopause, 58 bilaterally salpingoophorectomized, and 18 hysterectomized without bilateral oophorectomy in the Department of
Obstetrics and Gynecology at Youngnam University Hospital from January 1992 to Febrary 1994.
Lumbar spine and femoral bone densities were measured by using dual energy X-ray absorptiometry(DEXA).
The mean bone mineral densities of the surgically induced menopausal women were significantly lower than those of natural menopausal women(p<0.01).
The mean bone mineral densities of the bilateral oophorectomized women were significantly lower than those of the natural menopausal, or hysterectomized women(p<0.01).
A number of children and body weight were no significantly correlated with mean bone mineral densities.
And milk ingestion, caffeine intake, cigarette smoking were not associated with mean bone mineral densities.
There were no significant differences in mean bone mineral densities between hormonal replacement therapy group and no hormonal replacement therapy group.
in conclusion, it is necessary that the surgically induced menopausal women should be checked up on the risk of osteoporosis and given the hormonal replacement therapy if mean bone mineral densities were below the critical level.
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