Unfortunately, it is quite common for young women to undergo surgery to remove one ovary. What are the chances of IVF success if only one ovary remains?
In general, the absence of one ovary does not affect the chances of getting pregnant as much as many people think. It is much more important that the remaining fallopian tube is passable because that is where the egg travels to the uterus to establish itself. But otherwise, even one ovary copes well with the production of hormones and maintain reproductive function in women.
And, of course, the reproductive health of the partner is very important. In this situation, pregnancy usually occurs without medical intervention. Perhaps it will not come as quickly as in women with 2 ovaries, but after some time you will still be able to get pregnant naturally.
In cases where there are some difficulties with natural conception, it is necessary to be examined by a reproductive gynecologist for various diseases and disorders in the body. In addition, the patency of the fallopian tubes should be checked more thoroughly, as well as the condition of the ovary and its ability to produce healthy eggs ready for fertilization. If the results of these tests seem unsatisfactory to the reproductologist, he or she may recommend artificial insemination or in vitro fertilization to conceive.
First, the reproductologist has to make sure that the woman is ovulating normally. It is a natural process where every 28 days, follicles mature in the ovaries, which then become an egg. Provided a woman has two ovaries, they work alternately: the egg comes out of either one or the other. Although, sometimes it happens that one ovary works more actively. This mainly depends on the physiological characteristics of the body, such as the blood supply to one of the ovaries or an increased number of follicles in one of them. For example, after undergoing surgery to remove appendicitis, the ovary, which is on the right side, may work somewhat worse than the left.
In the case when women bring for some reason the operation to remove one of the ovaries, all the necessary work must do the second, respectively, the load on it grows twice. Sometimes this leads to premature menopause, when the reserves of the ovary are depleted, it stops producing eggs, the menstrual cycle stops, and natural conception becomes impossible for a woman. In addition, after the removal of one ovary it is necessary to check frequently and most thoroughly to make sure that the disease or damage that caused the removal of one ovary has not spread to all organs of the reproductive system.
Depending on what problems have been identified with conception in each individual woman, different types of treatment are prescribed. Specifically, if the remaining ovary can function normally and the supply of eggs is high enough to be used for conception, physicians may recommend hormone therapy.
If examination reveals more serious reproductive system abnormalities, in vitro fertilization is the only option for women.
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