Z90.72 Acquired absence of ovaries

Name of the Condition

• Acquired absence of ovaries

Summary

Acquired absence of ovaries refers to the loss of both ovaries due to non-congenital causes, such as surgical removal or injury. This condition affects hormonal balance and reproductive function, as the ovaries are responsible for producing eggs and hormones like estrogen and progesterone.

Causes

Surgical procedures, including bilateral oophorectomy, performed to treat conditions like ovarian cancer, severe endometriosis, or other pelvic diseases. Trauma or injury leading to the removal or loss of both ovaries. Medical treatments for malignancies that require ovary removal.

Risk Factors

• Previous surgeries related to ovarian conditions.
• History of ovarian cysts, tumors, or endometriosis.
• Genetic predispositions to cancers requiring prophylactic ovary removal.
• Trauma to the pelvic region.

Symptoms

• Menopause-like symptoms, including hot flashes, vaginal dryness, and mood changes.
• Infertility due to the absence of ovarian function.
• Hormonal imbalances affecting bone density and cardiovascular health.

Diagnosis

Medical history review and surgical records to confirm the absence of ovaries. Physical examination and imaging studies (e.g., ultrasound, MRI) to assess pelvic structures. Blood tests to evaluate hormone levels, such as estrogen and follicle-stimulating hormone (FSH).

Treatment Options

• Hormone replacement therapy (HRT) to manage symptoms of hormonal deficiency.
• Fertility treatments, such as in vitro fertilization (IVF) with donor eggs, if desired.
• Bone density monitoring and supplements to prevent osteoporosis.

Prognosis and Follow-Up

Depends on the underlying reason for the removal. Regular follow-ups are necessary to monitor hormone levels, bone health, and cardiovascular risk. Long-term management may include ongoing HRT and lifestyle adjustments.

Complications

• Increased risk of osteoporosis and fractures due to estrogen deficiency.
• Higher likelihood of cardiovascular disease.
• Potential psychological or emotional effects related to body image and fertility loss.

Lifestyle & Prevention

• Maintain a balanced diet rich in calcium and vitamin D to support bone health.
• Engage in regular weight-bearing exercise to strengthen bones.
• Avoid smoking and limit alcohol, as these can exacerbate bone and heart health risks.
• Seek emotional support through counseling or support groups.

When to Seek Professional Help

Consult a healthcare provider if experiencing severe menopausal symptoms, unexplained pelvic pain, or signs of osteoporosis (e.g., fractures). Seek immediate care for symptoms of cardiovascular issues, such as chest pain or shortness of breath.

Tips for Medical Coders

Document the reason for the absence of ovaries (e.g., surgical removal, trauma) and any associated conditions (e.g., cancer, endometriosis). Ensure the code Z90.72 is used when both ovaries are absent due to acquired causes. Include details about hormone replacement therapy or follow-up care if relevant to the patient's management.