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Ovarian maldescent

B S Verkauf¹, M A Bernhisel

¹Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, USA.

Fertility and Sterility

|January 1, 1996

Summary

Ovarian maldescent, where ovaries fail to descend into the pelvis, is rare in infertile women. This condition

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Area of Science:

Reproductive Endocrinology
Surgical Gynecology

Background:

Infertility affects numerous women globally, necessitating research into all potential contributing factors.
Ovarian maldescent, a rare anatomical variation, has been an understudied aspect of female infertility.

Observation:

This observational study analyzed 2,025 women undergoing surgery for infertility.
Ovarian maldescent was identified in 5 cases, characterized by ovaries positioned above the pelvic brim.
Associated findings included short infundibulopelvic ligaments, elongated fallopian tubes, and potential Mullerian duct abnormalities.

Findings:

The incidence of ovarian maldescent in infertile women is low (0.25%).
The direct impact of ovarian maldescent on infertility remains unclear.
Ovarian maldescent does not necessarily prevent conception if other infertility factors are addressed.

Implications:

The rarity of ovarian maldescent necessitates careful surgical technique during procedures like laparoscopy, laparotomy, and IVF oocyte retrieval to avoid complications.
Further research is needed to fully elucidate the relationship between ovarian maldescent and infertility.
Recognition of this anomaly is crucial for optimizing fertility treatments.

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