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A multiparous, 45-year-old woman presents for preoperative evaluation. She has a long history of abnormal uterine bleeding that has been inadequately managed with her current levonorgestrel intrauterine device. She now desires definitive surgical management by hysterectomy. During her visit today, she requests that her ovaries be removed during the surgery. She shares that a good friend recently passed away after a long battle with ovarian cancer and she wants to lower her own risk of ovarian cancer as much as possible. Her past medical history includes depression managed on escitalopram 20 mg daily, and borderline hypertension currently managed with lifestyle modification. She has had no prior surgery.
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