Hysterectomy with Ovarian Preservation: Understanding Ovulation and Menopause

A hysterectomy removes the uterus but can preserve the ovaries. This is not called an oophorectomy—oophorectomy specifically means ovary removal.

With ovarian preservation:

• Ovulation and hormone production continue
• Menstrual periods stop (no uterus to shed lining)
• Natural menopause occurs at the typical age
• Pregnancy is not possible (no uterus)

However, ovarian function isn't guaranteed—blood supply disruption or underlying conditions can affect ovaries. The decision to remove or preserve ovaries depends on age, medical history, cancer risk, and personal preference. Discuss thoroughly with your surgeon.