Oophorectomy (ovary removal surgery)

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How you prepare

By Mayo Clinic staff

To prepare for oophorectomy, your doctor may ask that you:

  • Drink a solution to clear your intestines the day before surgery
  • Stop eating the day before your surgery and limit liquids
  • Stop taking certain medications
  • Take antibiotics to prevent infection
  • Undergo imaging tests such as ultrasound and computerized tomography (CT) to help surgeons plan for the procedure

Plan for a hospital stay
Some women may need to stay in the hospital for a few days after oophorectomy. How long you stay depends on how the procedure is performed and the reason for your surgery. Ask your doctor what you can expect.

Plan ahead for time in the hospital by packing:

  • A robe and slippers
  • Personal items, such as your toothbrush
  • Things to help you pass the time, such as books and magazines

Plan for infertility
If you want to have children, talk with your doctor about your options. For some conditions you may need only one ovary removed (unilateral oophorectomy). With the remaining ovary, you'll still have a menstrual cycle and you can still conceive naturally.

If both of your ovaries are removed (bilateral oophorectomy), but your uterus remains, you may be able to become pregnant using assisted reproductive technology. Ask your doctor to refer you to a fertility specialist who can review your options with you.

References
  1. Valea FA, et al. Oophorectomy and ovarian cystectomy. http://www.uptodate.com. Accessed Feb. 3, 2009.
  2. DeSimone CP, et al. Gynecologic laparoscopy. Surgical Clinics of North America. 2008;88:319.
  3. Stany MP, et al. Benign disorders of the ovary. Obstetrics and Gynecology Clinics of North America. 2008;35:271.
  4. Chobanian N, et al. Ovarian cancer. Surgical Clinics of North America. 2008;88:285.
  5. Boyle KJ, et al. Benign gynecologic conditions. Surgical Clinics of North America. 2008;88:245.
  6. DeCherney AH, et al. Current Diagnosis and Treatment: Obstetrics and Gynecology. 10th ed. New York, N.Y.: McGraw-Hill Medical; 2007.
  7. Shuster LT, et al. Prophylactic oophorectomy in pre-menopausal women and long term health - A review. Menopause International. 2008;14:111.
  8. Schorge JO, et al. Surgeries for Benign Gynecologic Conditions. In: Schorge JO, et al. Williams Gynecology. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=3166442. Accessed Feb. 7, 2009.
  9. Medeiros LR, et al. Laparoscopy versus laparotomy for benign ovarian tumor: A systematic review and meta-analysis. International Journal of Gynecological Cancer. 2008;18:387.
  10. Gostout BS (expert opinion). Mayo Clinic, Rochester, Minn. March 16, 2009.
  11. Mettler L, et al. Robotic assistance in gynecological oncology. Current Opinion in Oncology. 2008;20:581.

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April 16, 2009

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