Bilateral Hysterosalpingo-Oophorectomy: What the Procedure Removes

Bilateral hysterosalpingo-oophorectomy (BSO) removes:

• Uterus (hysterectomy)
• Both fallopian tubes (bilateral salpingectomy)
• Both ovaries (bilateral oophorectomy)

Indications: Gynecologic cancer (ovarian, uterine, fallopian tube), severe endometriosis, chronic pelvic pain, BRCA mutation (risk reduction), complex benign disease.

Consequences: Permanent sterility; immediate surgical menopause if premenopausal (loss of ovarian hormones); need for hormone therapy consideration; loss of fertility (but uterus already gone).

Approaches: abdominal, vaginal, laparoscopic, robotic. Discuss risks, benefits, alternatives, and hormone management with your surgeon.