Ovarian Cystectomy: Preserving Fertility for Future Pregnancy

Ovarian cysts are a common concern among women of reproductive age, and for those who hope to conceive in the future, deciding whether to undergo surgery can be daunting. If you’ve been advised to consider an ovarian cystectomy, understanding the procedure and its implications for your fertility is crucial.

What is an Ovarian Cystectomy?

An ovarian cystectomy is a surgical procedure to remove a cyst from the ovary while preserving the healthy ovarian tissue. The goal is to treat the cyst, alleviate symptoms, and safeguard the ovary’s function, which is vital for hormone production and egg release.　

Two Approaches to Ovarian Cystectomy

There are two main ways to perform an ovarian cystectomy: open surgery and laparoscopic surgery.

Open Surgery involves a larger incision in the abdomen, allowing the surgeon direct access to the ovary.
Laparoscopic Surgery uses small incisions and a camera to guide precise surgical instruments.

We recommend laparoscopic surgery whenever possible, as it offers significant advantages: less postoperative pain, smaller scars, shorter recovery time, and a reduced risk of complications such as adhesions. Additionally, laparoscopic surgery allows for greater precision in preserving healthy ovarian tissue, making it an excellent choice for women who wish to maintain their fertility.

The Importance of a Skilled Surgeon

When it comes to ovarian cystectomy, the skill and experience of the surgeon play a pivotal role in preserving your fertility. The ovaries are delicate structures with a rich blood supply and intricate anatomy. During surgery, the surgeon must carefully remove the cyst without damaging the surrounding ovarian tissue or compromising its blood supply.

A skilled surgeon will:

Use Precision Techniques: Minimizing trauma to the ovary.
Preserve Ovarian Reserve: Protecting as many functional follicles as possible.
Avoid Adhesion Formation: Adhesions, or scar tissue, can impair fertility and lead to complications like chronic pelvic pain or tubal blockage. Advanced techniques and meticulous handling of tissues reduce this risk.

How Does the Surgery Impact Fertility?

When performed correctly, ovarian cystectomy is unlikely to negatively affect your ability to conceive. In fact, removing a problematic cyst, such as an endometrioma or a dermoid cyst, can improve fertility outcomes in some cases. For women with endometriosis-related cysts, surgery can alleviate pain and improve the chances of natural conception or success with fertility treatments.

However, poor surgical technique can inadvertently reduce ovarian reserve, so selecting an experienced gynecologist with expertise in minimally invasive techniques, such as laparoscopy, is essential.

What to Expect During the Process

Preoperative Assessment: Your doctor will evaluate the type, size, and location of the cyst through imaging studies like ultrasound or MRI. They will also assess your ovarian reserve with hormone tests if necessary.
Surgery: The procedure is typically performed laparoscopically, involving small incisions and a camera to guide the surgery. This minimally invasive approach offers faster recovery and less risk of complications compared to open surgery.
Postoperative Recovery: Most women return to normal activities within 1–2 weeks. Your doctor will provide guidance on when it’s safe to resume trying for pregnancy.

Final Thoughts

Ovarian cystectomy is a delicate procedure that can be life-changing, especially for women hoping to conceive in the future. While the thought of surgery can be intimidating, placing your trust in an experienced gynecologist can ensure that your fertility is preserved. If you’re considering ovarian cystectomy, don’t hesitate to consult a specialist who understands the importance of individualized care and the preservation of reproductive health.

Your fertility is precious—make sure it’s in good hands.

A Message from Ashiya Women’s Clinic

When considering this surgery, it is crucial to select a surgeon with significant expertise in fertility-preserving techniques, as this can have a profound impact on your reproductive future. Please do not hesitate to inquire about your surgeon’s experience with similar cases and their approach to preserving ovarian function.

At Ashiya Women’s Clinic, Dr. Koubu Sen performs all surgeries with exceptional skill and has completed over 2,000 laparoscopic procedures. Recognized by his peers as one of the “Best Doctors,” Dr. Sen is widely trusted by fertility specialists and frequently receives referrals from leading infertility clinics. Patients may specifically request Dr. Sen as their surgeon and have their procedures carried out at partner hospitals as part of his private practice.

For more information, please arrange an appointment with us. Online consultations are also available for those residing in distant locations. We are committed to providing professional care to all who seek our services.