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September 7, 1984

Prophylactic Hysterectomy at Oophorectomy in Young Women

Author Affiliations

Pennsylvania State University College of Medicine The Milton S. Hershey Medical Center Hershey, Pa

JAMA. 1984;252(9):1129-1130. doi:10.1001/jama.1984.03350090017007

To the Editor.—  Bustillo and associates1,2 recently reported successful pregnancies following ovum transfers from fertile donors into infertile recipients. Some legal implications for the participants in this type of ovum transfer were discussed by Blumberg3 in an accompanying article. However, other recent technological advances portend much broader ethical and medicolegal considerations related to this issue.Successful pregnancies, in both monkey4 and human5 subjects without ovaries, have been reported as a result of ovum transfer and simple hormonal replacement. This information suggests that the uterus may no longer be considered a "useless" organ in all women following oophorectomy, since subsequent pregnancy is now clearly a realistic technical possibility. For this reason, is seems appropriate to reexamine the advisability of the traditional incidental excision of an otherwise healthy uterus at surgery to remove the ovaries in young women who may nevertheless desire later childbearing. The proposed benefits of