Clinical outcome after unilateral oophorectomy in patients with polycystic ovary syndrome.
The objective of this study is to report retrospectively on the clinical outcome of unilateral oophorectomy in 14 women with polycystic ovary syndrome who had undergone this treatment 14-18 years ago in our hospital for clomiphene citrate-resistant anovulation and long standing infertility or for severe hirsutism. The main outcome measures were menstrual cycle, pregnancy, hirsutism, testosterone concentrations, and premature ovarian failure. Unilateral oophorectomy restored regular menstrual cycles in 12 of the 14 patients. Thirteen years later, nine out of 12 patients still had regular menstrual cycles. Ten patients wished to become pregnant. Seven of them conceived spontaneously. Eleven patients complained of severe hirsutism. After unilateral oophorectomy, hirsutism regressed subjectively in six. Testosterone blood concentrations decreased significantly within the first year after unilateral oophorectomy in 11 patients. None of the women entered menopause within 14-18 years after surgery. Our results indicate that unilateral oophorectomy restores ovulatory function for many years in the majority of patients and does not result in premature ovarian failure. However, unilateral oophorectomy should not be recommended as a standard treatment for clomiphene citrate-resistant patients with polycystic ovary syndrome.
Kaaijk
E M
EM
Department of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands.
Hamerlynck
J V
JV
Beek
J F
JF
van der Veen
F
F
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006628:Hirsutism; D006801:Humans; D008597:Menstrual Cycle; D010052:Ovariectomy / Q000009:adverse effects; D011085:Polycystic Ovary Syndrome / Q000503:physiopathology / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome