When facing cancer treatments like chemotherapy and radiation, women of child-bearing age may be presented with various methods of preserving fertility. Ovarian transposition is one procedure your doctor may suggest.
Ovarian transposition is the outpatient surgical movement of the ovaries. The idea is to move the ovaries to a location where the impact of radiation on ovarian function is minimized. The key word here is minimized. Typically, ovaries are moved to a higher position in the abdomen. There is a chance radiation will impact ovarian function even after the ovaries are moved.
What are the Chances of Pregnancy After Repositioning?
Several factors come into play when chance of pregnancy is calculated after ovarian transposition. Doctors estimate successful pregnancy in about 50% of women, though studies report higher and lower percentages. Condition of the ovaries, impact of surgery and impact of radiation all play an important part in your chances of becoming pregnant.
Is Ovarian Transpositioning Expensive?
The cost of the procedure varies widely. If another abdominal surgery is being completed as a result of the cancer or other medical concern, the doctor may be able to reposition the ovaries during that surgery to minimize cost and increase the likelihood of insurance coverage.
What are the Risks of Ovarian Transposition?
There is always risk associated with surgical procedures, no matter how intricate or commonplace the procedure. If blood supply is interrupted during the transposition, there is a risk of reduced or improper blood flow to the ovaries. In this case damage, unrelated to the radiation, could occur. There is also the risk of radiation damaging the ovaries if they remain even slightly in the area where the radiation is focused.