Z90.722 Acquired absence of ovaries, bilateral

Name of the Condition

• Acquired absence of ovaries, bilateral

Summary

Acquired absence of ovaries, bilateral, refers to the loss of both ovaries due to non-congenital causes, such as surgical removal or medical interventions. This condition results in the complete cessation of ovarian function, affecting hormonal balance and fertility.

Causes

Surgical procedures like bilateral oophorectomy, typically performed to treat conditions such as ovarian cancer, severe endometriosis, or genetic predispositions (e.g., BRCA mutations). Trauma or injury leading to the removal of both ovaries. Medical treatments for malignancies that require bilateral ovary removal.

Risk Factors

• History of ovarian or breast cancer requiring prophylactic ovary removal.
• Severe endometriosis or recurrent pelvic inflammatory disease.
• Genetic mutations (e.g., BRCA1/2) increasing cancer risk.
• Previous surgeries involving the ovaries.

Symptoms

• Immediate onset of menopausal symptoms (hot flashes, vaginal dryness, mood changes).
• Infertility due to loss of ovarian function.
• Potential bone density loss over time.

Diagnosis

Medical history review, including surgical records or treatment logs. Physical examination to confirm absence of ovarian tissue. Imaging studies (e.g., ultrasound, MRI) to verify bilateral absence. Blood tests to assess hormone levels (e.g., estrogen, FSH).

Treatment Options

• Hormone replacement therapy (HRT) to manage menopausal symptoms and bone health.
• Calcium and vitamin D supplementation to support bone density.
• Fertility preservation discussions (if applicable before surgery).

Prognosis and Follow-Up

Prognosis depends on the underlying reason for ovary removal (e.g., cancer treatment vs. benign conditions). Regular follow-up includes monitoring bone density, cardiovascular health, and hormone levels. Long-term HRT may be recommended to mitigate risks.

Complications

• Increased risk of osteoporosis and fractures.
• Higher likelihood of cardiovascular disease.
• Potential psychological impacts related to menopause or fertility loss.

Lifestyle & Prevention

• Weight-bearing exercises to support bone health.
• Balanced diet rich in calcium and vitamin D.
• Smoking cessation and limited alcohol intake to reduce cardiovascular risk.
• Mental health support for emotional adjustment.

When to Seek Professional Help

• Severe menopausal symptoms affecting daily life.
• Unexplained pelvic pain or abnormal bleeding.
• Signs of osteoporosis (e.g., fractures, height loss).
• Concerns about hormone replacement therapy or follow-up care.

Tips for Medical Coders

Document the underlying reason for bilateral ovary absence (e.g., surgery, trauma, or disease) to support code assignment. Include details on whether the absence is due to a specific procedure (e.g., oophorectomy) or medical condition. Ensure surgical records or clinical notes confirm bilateral involvement.