Erschienen in:
01.10.2012 | Reproductive Medicine
Women with one ovary in assisted reproduction technologies: a review of the literature
verfasst von:
Bouchlariotou Sofia, Tsikouras Panagiotis, Rösing Beniamin, Neulen Josef
Erschienen in:
Archives of Gynecology and Obstetrics
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Ausgabe 4/2012
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Abstract
Background
A number of patients who have undergone assisted reproductive technology (ART) have only one ovary.
Purpose
This article reviews the clinical implications of the absence of an ovary on the reproductive potential and the outcome in ART cycle.
Data sources
MEDLINE, Pubmed, the Cochrane Controlled Trials Register, and Cochrane Database of Systematic Reviews from the 1980s through April 2010.
Study selection
Randomized, controlled trials; systematic reviews of trials; and observational studies; all restricted to English-language articles.
Data synthesis
This review includes 58 articles. Women with a single ovary did not, in general, respond as well to ovulation induction treatment than women with two ovaries in ART cycles. It appears however, that once women with a single ovary achieve the stage of embryo transfer, they can be reassured that their chances of having a child are the same as women with two ovaries. Whether the right or left ovary responds better to superovulation is a question which remains unanswered in the literature.
Limitations
The authors could not address all management questions, and excluded non-English-language literature.