Fertility following bilateral ovarian wedge resection: A critical analysis of 90 consecutive cases of the polycystic ovary syndrome

E. Y. Adashi, J. A. Rock, D. Guzick, A. C. Wentz, G. S. Jones, H. W. Jones

Research output: Contribution to journalArticlepeer-review

Abstract

Fertility following bilateral ovarian wedge resection (BOWR) was evaluated in a retrospective cohort study of 90 consecutive cases of the polycystic ovary syndrome. Post-BOWR followup was available for varying time spans of up to 10 years. BOWR resulted in the resumption of menstrual cyclicity in 91.1% (82/90) of the cases. However, within this ovulatory group, 26 patients were characterized by oligo-ovulation and a significantly reduced conception rate (29.2%), as compared with that of 56 normo-ovulatory counterparts (60.3%). Although the crude overall conception rate for this series was 47.8%, the overall cumulative probability of conception at the end of followup as determined by life table analysis was 73%. The likelihood of conception at any given point in time was estimated by a monthly fecundability rate of 1.34%. Our findings also indicate that the probability of post-BOWR conception was unaffected by age, race, ward status, or duration of infertility. In contrast, persistent post-BOWR oligo- or anovulation and the presence of concurrent tuboperitoneal disease were reaffirmed as the most important determinants of the likelihood of post-BOWR conception. A minimum incidence of 7.8% was documented for acquired post-BOWR pelvic disease.

Original languageEnglish (US)
Pages (from-to)320-325
Number of pages6
JournalUnknown Journal
Volume36
Issue number3
DOIs
StatePublished - Jan 1 1981

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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