Do my ovaries need to be removed?

In many cases, ovaries do not have to be removed. Preserving the ovaries—especially for premenopausal patients—can help you avoid immediate surgical menopause and its abrupt hormone changes.

We typically discuss ovary removal only when there’s a specific reason, such as significant ovarian disease, certain risk factors, or a clinical picture where removal is expected to meaningfully improve symptoms. It’s a highly individualized decision that balances potential symptom relief against the long-term effects menopause can have on bone, cardiovascular, brain, and sexual health. If you’re considering hysterectomy for adenomyosis, our team can review your history, imaging, and goals with you and help you decide on the option that best fits your situation.