HOPPSA is a register based randomized controlled trial (R-RCT), with the objective to examine if opportunistic salpingectomy compared with no salpingectomy, at the time of hysterectomy for a benign reason * has no increased risk of complications * has no negative side effects on ovarian function and subsequent cardiovascular disease or incidence of fractures * implies reduced risk of subsequent ovarian cancer Randomization and follow-up will be conducted within national registers.
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Surgical complication - short term primary outcome
Timeframe: Eight weeks post-operative
Change in menopausal symptom score - intermediate term primary outcome
Timeframe: One year after surgery
Epithelial ovarian cancer - long term primary outcome
Timeframe: 10-30 years after surgery