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Related Experiment Video

Updated: Mar 7, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
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The Effect of Salpingectomy on Ovarian Function.

Alexander Kotlyar1, Julian Gingold1, Shirley Shue2

  • 1Department of Obstetrics and Gynecology and Women's Health Institute, The Cleveland Clinic, Cleveland, Ohio.

Journal of Minimally Invasive Gynecology
|February 23, 2017
PubMed
Summary

Salpingectomy, a type of tubal surgery, generally does not impact ovarian reserve or significantly affect conception rates. This procedure is often recommended for hydrosalpinx and has minimal impact on in vitro fertilization (IVF) outcomes.

Keywords:
Antimüllerian hormoneAntral follicle countEpithelial ovarian cancerFollicle-stimulating hormoneHydrosalpinxOvarian functionOvarian hyperstimulationOvarian reserveSalpingectomy

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Area of Science:

  • Gynecologic surgery
  • Reproductive medicine
  • Oncology

Background:

  • Tubal surgery, including salpingectomy, is performed for various gynecological conditions.
  • Salpingectomy can be indicated for ovarian cancer risk reduction, sterilization, ectopic pregnancy, and to improve fertility in cases of hydrosalpinx.
  • Concerns exist regarding the impact of aggressive tubal surgery on ovarian reserve and fertility outcomes.

Purpose of the Study:

  • To review the impact of salpingectomy on ovarian reserve and fertility.
  • To compare salpingectomy with alternative conservative treatments.
  • To provide evidence-based guidance for clinical decision-making regarding tubal surgery.

Main Methods:

  • A comprehensive literature review was conducted.
  • Articles were sourced from PubMed, Cochrane, and MEDLINE databases.
  • 48 relevant publications from 1946 to 2016 were included in the analysis.

Main Results:

  • Salpingectomy generally does not negatively impact ovarian reserve across most indications.
  • Conflicting data exists, primarily from ectopic pregnancy cases, suggesting potential minor impairment.
  • Fertility outcomes for natural conception and in vitro fertilization (IVF) are largely unaffected by salpingectomy.

Conclusions:

  • Salpingectomy demonstrates no significant adverse effects on ovarian reserve for most indications.
  • The benefits of salpingectomy, particularly for hydrosalpinx, should be weighed against potential risks.
  • In vitro fertilization (IVF) success and spontaneous pregnancy rates are generally not compromised, but individual indications require careful consideration.