What causes infertility after ovarian cyst surgery

Question

Hi doctor,

I had surgery for ovarian cysts, during which my appendix and right ovary were removed. Since then, I have not used any contraception but have not been able to get pregnant. I also experience pain on my right side, under my belly, and at my back. I am not taking any medications. Can you help me?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Since your right ovary was removed and you have not been able to get pregnant despite not using contraception, there could be several possible reasons:

Possible causes of infertility:

Ovulation issues: With only one ovary, the release of eggs (ovulation) might not be regular or consistent.
Blocked fallopian tube: If the tube on the left side (the side with the remaining ovary) is blocked, the egg cannot meet the sperm, preventing pregnancy.
Scar tissue from surgery: Adhesions (scar tissue) from your past surgery could be affecting the function of your reproductive organs.
Endometriosis or hormonal imbalances: These conditions can cause pain and contribute to difficulties in conceiving.

About your pain:

The pain on your right side and back could be due to scar tissue from the surgery or an issue with your remaining ovary. If the pain is severe, worsening, or accompanied by bloating or irregular periods, it is important to get checked by a doctor as soon as possible.

What you can do now:
1. Ovulation tracking: Use an ovulation test kit or monitor your menstrual cycle to determine if you are ovulating regularly.
2. Pelvic ultrasound: This imaging test can help check if your remaining ovary and fallopian tube are healthy.
3. HSG test (hysterosalpingography): This is a special X-ray test to check if your left fallopian tube is open and functioning properly.
4. Hormonal blood tests: These tests can help rule out conditions like polycystic ovary syndrome (PCOS) or hormonal imbalances that might affect fertility.
  
  When to see a doctor:
  1. If you have not gotten pregnant after six to 12 months of trying.
  2. If your pain is worsening or interfering with your daily life.
  3. If you have irregular periods or other unusual symptoms.
    
    A fertility specialist can evaluate your remaining ovary, check your hormone levels, and assess the condition of your fallopian tubes to determine the best course of action.
    
    I hope this helps.
    
    Revert with the answer to assist further.
    
    Thank you and take care.