Getting Pregnant With PCOS And One Ovary

Today I’ll be writing about a sensitive topic which probably hasn’t been discussed much. We all talk about how our pregnancies are progressing and happening during and post delivery. But there are so many issues we ladies face much before any of these. PCOD, Thyroid and Ovary removal are some of the issues a lot of us face but probably don’t talk about too much. These topics are considered taboo and and many of us ladies are told to shut up and keep it to themselves which doesn’t help at all. It causes nothing but worry, more doubts and loads of anxiety all of which isn’t even required.

Read –Food To Avoid During Your Pregnancy

I’d like to begin with 2 instances right off which triggered this post…

getting pregnant with one ovary

A couple of months back, a close friend of mine was diagnosed with a huge cyst in her ovary. She’d been trying to conceive since 6mts with no success. She’d been having her period regularly and she experienced no pain at all. She had no idea the cyst even existed. The doctor had to operate and during the procedure found out that the cyst had become so big that it had enveloped and infected the entire left ovary. The doctor had to remove the left ovary and my friend was so disappointed when she came to know. Her first questions were to whether she’d be able to conceive or whether she’d have to go for IVF. The doctor was extremely patient and explained that even though one ovary was absent it probably hadn’t been functioning for a long time due to the cyst. It was the right ovary which was working and she also explained that it was totally possible to get pregnant with only one ovary. The main thing was that the fallopian tubes and the ovulation should be normal. She was also told to wait for 6mts before trying so that the scarring could heal. Fingers crossed she should be able to conceive without any problems.

Another friend was told a couple of months back that she had PCOS in one ovary only. Apparently, that ovary doesn’t function although the other ovary is perfectly fine. Β She too was very apprehensive about conceiving and was even all set for IVF, but the doctor just sent her home with a prescription for Folic acid and some relaxation. And well, what can I say?? A month later she conceived! πŸ™‚

I feel this post is really necessary simply because most of us are so unaware of our own bodies. Before I started visiting the gynac, I didn’t even know there were so many nuances to getting pregnant. It always seemed so simple. After all, women all around get pregnant everyday and so many without even trying! I assumed it would be the same for me. It took me a lot of time to digest that with changing lifestyles, our bodies have also changed and that these days a larger number of us face such challenges. And every bit of information helps. So here goes..

Read –Β Working vs Stay At Home Moms pregnancy+ single ovary

Key points to remember

  • Just as a man with only one testicle can readily father a child, a woman with one normal ovary can easily become pregnant.
  • This is because although both ovaries contain eggs, it does not need both to be present for these to be released every month.
  • As long as the Fallopian tube that leads from your remaining ovary to your womb is intact and normal there is no reason whatsoever why you should not be able to fall pregnant normally.

The Technicalities

In order to conceive, women must have at least one functioning ovary. Each month, the ovary releases a single egg into the fallopian tubes in a process called ovulation. Whether women have one or two ovaries, women who ovulate can potentially get pregnant. Once an egg is fertilized by sperm, the fertilized egg travels via the fallopian tubes to the uterus, where it implants and remains until it is time to give birth. In the case of two healthy ovaries, the ovaries alternate in releasing an egg, albeit not in any predictable pattern.

So at the end of the day, what you need is atleast 1 ovary and your tubes to work fine. Also, regular menses in another indication that your body is functioning properly. Ofcourse, here I’m referring to menses without the aid of birth control pills. My personal suggestion is to stay away from birth control pills when you’re in your 20s. At times, they do more harm than good. Incases where periods are still irregular, your gynac can prescribe a stimulant which is ideally taken for 5days after the 15th or 20th day of your last cycle. You pop these pills and a week after completing your dose you can expect your period anytime. This is just simpler because it doesn’t muck with your hormones as much as BCPs do and they don’t result in weight gain either (I suffered from a lot of weight gain when I took BCPs in my teens).

Read –Β Coping With Life As A Working Mom

The Risks

Usually, an egg is released into the fallopian adjacent to that ovary – in other words, to the fallopian tube that is on the same side of the ovary from where the egg drops. For women who have only one ovary and and/or one fallopian tube, the chances of becoming pregnant are greatest when these are located next to each other.

However the chances that an egg released from one ovary will reach the fallopian tube on the opposite side are very slim, and thus the odds of getting pregnant in this case are very low. Similarly, women with a single ovary and a single fallopian tube on opposite sides are at risk for an ectopic pregnancy, also known as a tubal pregnancy. In a tubal pregnancy, instead of implanting in the uterus, the fertilized egg implants in one of the fallopian tubes where it cannot survive. Ectopic pregnancies can ultimately be life-threatening for the mother and cause damage to a woman’s reproductive organs.

When to visit the doctor

If women with a single ovary have tried unsuccessfully to conceive for a period of one year to 15 months, they are advised to seek advice from a fertility expert and to consider fertility treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF).

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Sources: 1, 2, 3, 4


  1. Zee I’ve a question. What if you have cysts in bothe ovaries and will get it operated? Can you still conceive? I’m a little confused.

    • No no sweets..don’t b confused..ask anythin u want…pcos in both ovaries doesn’t mean u can’t get preggi at all…firstly, if the degree is lesser then one can get preggi without any medical interference…after all, so many women conceive without knowing they had pcos..if the degree of pcos is very medium to high then surgery is an option.. But if the pcos is very high then surgery also may. Ot help…in those cases gynacs usually giv the option of IVF or IUI..

      A pal of mine in blore has severe pcos and had a surgery 4 mts back…doc have said that even then it’s a 50-50 chance n hav suggested IUI…

      So it just depends on the degree of pcos…it helps if it’s detected before so that girls can start exercising which really helps control it along wid medication..

    • And vish..just more thing…when u get operated for pcos, it doesn’t mean dat the ovaries will be removed…it’s just a procedure where they drill the cysts..they don’t touch the ovary…in my friends case in the first example, the cyst was a diff thing altogether..not pcos…and it had infected one ovary..which is y it had t b removed.. πŸ™‚

      Hope this helps..

    • cyst can always be removed easily Vaish .One can get pregnant easily..infact i have seen many girls getting operated for their cyst and conceiving after 6 months or so.

  2. hey Vaish… u need atleast one ovary to produce eggs…. the operation could be to remove cysts & leave the ovary intact in the body… thus harm causing cysts are removed..and a woman normally conceive with time..

    only in case both ovaries or fallopian tubes or even the uterus is removed.. the chance of getting pregnant is NO.. πŸ™

  3. also… in woman… the thyroid, ovaries/uterus & the pancreas(insulin producing gland) work in an axis..

    if u hv a problem with one of the hormones or gland… and that is left untreated.. it causes trouble to the other in the same axis..

    thus it is highly important to keep our hormones in balance, clinically checked regularly..

    also it is advisable to plan & prepare oneself to be in good health conditions – both medically & mentally before conceiving a child.. so that all goes well… πŸ™‚

  4. PCOS in one ovary??????? ye toh i didnt checkd in report……. stupid me…. PCOS dekhte hi report hata di maine……….. thnx zee for motivating πŸ™‚

    • Absolutely.. And aayu pcos in both ovaries also doesn’t mean that prΓ©cis not possible….it is…just depends on d degree..n since uv been diagnosed so early there’s a gud chance it’s still in it nascent stage and simple exercising will help a lot…

    • keep yur self always helps πŸ™‚

      • Yes Ani… and i must say our wiseshe family members r doing such a nyc work… its d only nlog i found which dsnt only deals with makeup skin care bt health related critical issues…..nd motivating ppl… πŸ™‚
        GR8 Job god bless u

    • I too have been battling PCOS since I have no count how many years. While I have no experience TTC, once thing I can tell one can’t have PCOS in one ovary or two ovary. Cysts’ are only a manifestation. Women with PCOS can very well present with no cysts at all – doesn’t exactly mean their PCOS is any less serious. I for one didn’t present with cysts for about 14 years but did have many other symptoms of PCOS – having no cysts was ‘my fault’ for not getting diagnosed until 2 years back when I started showing cysts.

  5. Thanks a lot girls!! Getting pregnant is some time away, I’m yet to get married. But having child sounds like a dream come true after all the scary things I’ve heard about PCOS.

    Zee, Ana, Rev – thanks so much :d

    • vaish dnt wry πŸ™‚
      b4 entering to blogging world.. i never evn heard abt the name of PCOS.. bt aftr reading al related post…i compaired my present symptoms and immediately went for chckup…….. its gud tht i gt diagnosed early .

      • Exactly..gettin diagnosed late makes one feel helpless…but gettin health check regularly from an earlier age really helps..

    • Anytime a daunting thing wid health issues that r suddenly cropping up..but these days technology has developed such dat there’s a way out for almost everythin..provided ur aware f d situation early on..

  6. This is a new topic to me….never knew anything. thanks ladies for so much of information.
    I love this blog….totally rocking !!!!!!!!

  7. Zara & Ana you guys are really motivating…God bless you guys

  8. I got a check up and it confirms that if I exercise and keep my weight in check, it can be treated. So I can’t wait to do it now πŸ™‚ I only wish girls realise this problem early enough.

  9. very detailed article.. good one zara.. i suffer with pcos ; had cysts in both ovaries and got removed ,..

  10. Regular menses aren’t necessarily a sign that body is functioning properly. Menstrual bleeding doesn’t necessarily indicate that you ovulate each month. Not ovulating regularly is the one of the problems in PCOS. I have PCOS and till date I might have missed my periods at max twice or thrice. Infact, when I get physically or mentally stressed out, I start getting more frequent periods. And I’m not the only one presenting such symptoms, many other women with PCOS have such problem.

    It’s just that medical community hasn’t got answers to everything abt PCOS. So, we only learn abt those things abt PCOS in internet that have medical explanations. Like relating PCOS, insulin resistance, unhealthy lifestyle, being overweight, etc.

    I’m pretty slim, eat healthy, sleep well, am physically active and not insulin reistant but still have PCOS.

  11. Okay I’m s wee bit lost I have one ovary I lost my other one because I had a huge cyst and it’s been hard to get pregnant and I’m starting to lose faith I need help

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