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The impact of unilateral oophorectomy on ovarian reserve in assisted reproduction: a systematic review and meta-analysis
Conclusions:Available pooled data supports an adverse effect of UO on ovarian reserve involving the quantity but not the quality of the ovarian pool. - However, the weighted overall odds ratio (OR) of clinical pregnancy between women with a single ovary and women with two ovaries was comparable (overall OR 0.76: 95% CI 0.57 to 1.00, P=0.054).
202. Unilateral Ovary and Implications for IVF. [Forum/Discussion]
from: Administrator (office@fertaid.com), Australia on 7/09/2017 11:14:03 AM Profession:
Comment: Even though clients with one ovary following unilateral oophorectomy have fewer oocytes their chance of pregnancy is not reduced.
Submission: You do not come across many clients with only one ovary very often but as this study has shown doing a Cochrane and other data searches, their chance of an ongoing pregnancy has not diminished compared to clients with two ovaries. The study reported that women with a single ovary had higher FSH and lower max E2 at hCG but when following transfer had the same pregnancy rate. One assumes they had fewer oocytes and embryos and possibly fewer embryos for transfer. The study shows that each ovary has a least one viable follicle (presumably well vascularised) that is capable of raising a viable oocyte. This is important information for clinicians providing clients with realistic data on their chance of success.
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