IMR Press / CEOG / Volume 47 / Issue 1 / DOI: 10.31083/j.ceog.2020.01.5151
Open Access Original Research
Previous ovarian surgery increases the risk of tubal factor infertility
Hue HJ1,†Kim SK1,2,†Choi JY3Suh DH1,2Kim KD1,2No JH1,2Lee JR1,2Jee BC1,2Kim YB1,2Jeon HW4,*
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1 Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam
2 Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul
3 Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Cheongju
4 Department of Obstetrics and Gynecology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea

Contributed equally.

Clin. Exp. Obstet. Gynecol. 2020 , 47(1), 84–88; https://doi.org/10.31083/j.ceog.2020.01.5151
Published: 15 February 2020
Abstract

Aim: Previous ovarian surgery for endometriosis results in decreased ovarian reserve and poor response to treatment in women with infertility. However, the impact of previous overall ovarian surgery on the incidence of infertility is unclear. Therefore the authors investigated impact of previous ovarian surgery on infertility incidence. Materials and Methods: This is a case-control study using retrospectively collected data in women who received infertility treatment (cases) or delivered babies (controls) at a tertiary center between 2003 and 2012. Results: The frequency of previous ovarian surgery was similar in both groups (p > 0.05) but it was higher in women with tubal infertility than their matched controls (p < 0.05). Also, the frequency of previous reproductive organ surgery was higher in the case group and in women with tubal or unexplained infertility (p < 0.05). Conclusion: Previous ovarian surgery is not associated with entire infertility, but may increase tubal factor infertility through adhesion formation and damage to adjacent tubes.

Keywords
Ovary
Surgery
Infertility
Ovarian reserve
Endometriosis
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