Evidence map›Paper›PMID 33692594›Full record

ArticleGeburtshilfe und Frauenheilkunde2021

Biological Impact of Unilateral Oophorectomy: Does the Number of Ovaries Really Matter?

Maria Luisa Gasparri, Ilary Ruscito, Elena Ioana Braicu, Jalid Sehouli, Luca Tramontano, Flavia Costanzi, Maria Paola De Marco, Michael D Mueller, Andrea Papadia, Donatella Caserta and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Unilateral Oophorectomy and Age at Natural Menopause: A Longitudinal Community-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. A rare cause of acute abdomen in a paediatric patient: A case report of a twisted ovarian cyst.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023
    Article
  13. Clinical characteristics and surgical management of endometriosis-associated infertility: A multicenter prospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Maria Luisa GasparriDepartment of Obstetrics and Gynecology, Ente Ospedaliero Cantonale (EOC), Università Svizzera Italiana, Lugano, Switzerland.
Ilary RuscitoGynecologic Division, Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Elena Ioana BraicuDepartment of Gynaecology, European Competence Center for Ovarian Cancer, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jalid SehouliDepartment of Gynaecology, European Competence Center for Ovarian Cancer, Campus Virchow Clinic, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Luca TramontanoDepartment of Obstetrics and Gynecology, Ente Ospedaliero Cantonale (EOC), Università Svizzera Italiana, Lugano, Switzerland.
Flavia CostanziGynecologic Division, Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Maria Paola De MarcoGynecologic Division, Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Michael D MuellerDepartment of Obstetrics and Gynaecology, University Hospital of Berne and University of Berne, Berne, Switzerland.
Andrea PapadiaDepartment of Obstetrics and Gynecology, Ente Ospedaliero Cantonale (EOC), Università Svizzera Italiana, Lugano, Switzerland.
Donatella CasertaGynecologic Division, Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Filippo BellatiGynecologic Division, Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.
Sapienza University of Rome · ITCharité - Universitätsmedizin Berlin · DEEnte Ospedaliero Cantonale · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although unilateral oophorectomies are performed more often than bilateral ones in women of reproductive age, their clinical consequences have been less intensively investigated. Experimental models in animals have shown that compensatory mechanisms occur after a unilateral oophorectomy (UO). This review aims to summarize the available evidence on the biological effects of unilateral oophorectomy on women. Evaluated outcomes include age at onset of menopause, risk of cardiovascular and neurological disease, risk of mortality and fertility outcome after spontaneous conception or in vitro fertilization (IVF). Results were compared with findings reported after bilateral oophorectomy and/or ovarian excision and/or women with intact ovaries. An electronic database search was performed using PubMed and Scopus, followed by a manual search to identify controlled studies that compared women after UO with women with two intact ovaries. In particular, a systematic review of fertility outcomes after IVF was performed, and the data were summarized in a table. Women who underwent UO had a similar age at menopause and similar clinical pregnancy rate compared to women with two ovaries. However, decreased ovarian reserve affecting the quantity but not the quality of the ovarian pool after IVF was observed in the UO group. Furthermore, an increased risk of neurological disease and even an increased risk of mortality was observed in women with single ovary. These data need to be confirmed by further studies, and a plausible mechanism of action must be identified. At present, patients who undergo UO can be reassured with regard to their reproductive potential and their age at onset of menopause.

Indexed as

conservative surgeryfertilityIVFovarian cystectomypregnancy rateunilateral oophorectomy

Identifiers

PMID33692594
PMCPMC7938940
OpenAlexW3090363873

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.