Recovery after the removal of one or both ovaries: prognosis, consequences, and possibilities of pregnancy

Causes and characteristics of the operation

The removal of the ovary is performed in various gynecological pathologies, including cysts, tumors, endometriosis, ectopic pregnancy, as well as in cases of complicated infections, trauma, or other serious diseases that threaten the woman's health. The operation is usually performed by laparoscopy under general anesthesia.

Effects on reproductive function

Unilateral oophorectomy (removal of one ovary) reduces the woman's reproductive function by half. This is due to changes in the endocrine system, which can lead to disturbances in fat and carbohydrate metabolism. In addition, a decrease in estrogen levels after the operation increases the risk of osteoporosis and cardiovascular diseases, as estrogens play an important role in maintaining bone density and vascular tone. This is why such surgical intervention is only performed under strict medical indications.

Prognosis and recovery after the procedure

A timely diagnosis and surgical treatment allow for a favorable prognosis for the patient. Hormone replacement therapy (HRT) helps to minimize the negative effects of ovary removal and to maintain reproductive function as best as possible.

During the postoperative period, it is important to be medically monitored and to follow the doctor's recommendations. The risk of complications depends on the patient's age, lifestyle, presence of comorbidities, and the extent of the operation. To preserve health, it is recommended

• To give up bad habits;
• To maintain a normal weight;
• To lead an active life;
• To monitor hormone levels through regular examinations.

Possible consequences of ovary removal

The removal of the ovary affects hormonal balance, which can lead to the following symptoms:

• Irritability, anxiety, mood swings;
• Decreased libido;
• Hot flashes, increased sweating;
• Sleep disturbances;
• Frequent headaches;
• Increased fatigue;
• Menstrual disorders;
• Vaginal dryness, discomfort during urination.

The consequences of ovary removal may also include ovarian insufficiency (one operational ovary) and impaired fertility caused by a decrease in estradiol levels and a compensatory increase in gonadotropins. Hormone replacement therapy (HRT) is often used to correct these conditions, restoring hormonal balance and reducing the risk of osteoporosis and cardiovascular diseases.

Can I get pregnant after ovary removal?

If a woman had a high ovarian reserve before the operation and did not suffer from any other reproductive system diseases, the chances of pregnancy remain. The assessment of the possibility of conception is facilitated by diagnostic tests, including:

• Assessment of ovulation on the remaining ovary
• Checking the patency of the remaining fallopian tube;
• Analysis of the partner's sperm quality.

IVF after the removal of one or both ovaries

In some cases, in vitro fertilization (IVF) is used to achieve pregnancy after removal:

IVF may be recommended in the following cases

• Obstruction of the remaining fallopian tube;
• Associated diseases leading to infertility;
• Poor quality of the partner's sperm;
• Absence of pregnancy after several cycles of ovulation stimulation with gonadotropins.
• Removal of both ovaries

If ovarian reserve is significantly reduced, IVF with egg donation or IVF with double donation may be necessary to achieve pregnancy.

Assistance from specialized doctors

Gynecologists specializing in assisted reproductive technology at the Natuvitro clinic assist women who have undergone the removal of one or both ovaries in restoring their reproductive function and achieving the desired pregnancy. The clinic conducts a comprehensive examination, including the following elements

• Analysis of hormonal background;
• Ultrasound examination of the pelvic organs;
• Assessment of ovarian reserve.

Specialists develop individual treatment programs, including hormonal support, ovulation stimulation, and selection of the optimal IVF method based on the patient's condition. The clinic offers all necessary examinations and IVF programs, including IVF with egg donation or IVF with double donation.