Unilateral ovarian and fallopian tube agenesis in an infertile patient with a normal uterus

Abstract

Congenital agenesis of the unilateral adnexa is a condition that has rarely been described in the literature. The current study presents the case of a 26-year-old female who was admitted to the Department of Gynecology at the Women’s Hospital of Zhejiang University (Hangzhou, Zhejiang) for primary infertility. The patient was diagnosed with unilateral ovarian and fallopian tubal agenesis, without malformations of the uterus and urinary tract, during diagnostic laparoscopy and hysteroscopy. A literature review was conducted with the aim of determining the possible causes of these anomalies. However, the etiology of the adnexal anomaly remained unclear, although torsion or congenital defects were the most likely explanation. Therefore, the observations of the present study indicate that contralateral tubal pathologies may contribute to sterility.

Unilateral ovarian absence in a Black‐headed Squirrel Monkey (Saimiri vanzolinii Ayres, 1985), a threatened neotropical primate species

“…15 Such defect is more unusual than other anomalies attributed to a failure in the Müller duct development, which causes defects in the oviduct, uterus, cervix, vagina, and extern genitalia. 16,17 In the present studied case, a possible hybridization effect was discarded, once there is no evidence of contact between S. vanzolinii and its congener and neighbor species, S. cassiquiarensis. 4 Although individuals presenting inefficient reproductive performance may impact their population, absence of one ovarian will not circumvent the generation of descendants.…”

Unilateral agenesis of the right ovary and fallopian tube in an infertile patient with a normal uterus

“…Our patient had a normal uterus and kidneys. Chen et al 7 reported a case of an infertile patient with a normal uterus and unilateral agenesis of the left ovary and Fallopian tube. At the time of Caesarean section of a multiparous patient, Maurya and Gupta 8 found unilateral right ovarian and Fallopian tube agenesis without uterine and renal anomalies.…”

Complementary and Alternative Therapy with Traditional Chinese Medicine for Infertility

“…Diagnostic laparoscopy is recommended for women with suspected pelvic adhesions or endometriosis, during which chromotubation can assess tubal patency and hysteroscopy can assess the uterine cavity [29,30].…”

“…Tubal anomalies that contribute to infertility include congenital absence and major diverticula, duplication of the tubes, tubal occlusion, and hydrosalpinx [29,30]. Other causes of tubal infertility include endometriosis, intrauterine contraceptive devices, infections (gonorrhea, chlamydia trachomatis, and genital tuberculosis), and postoperative complications of abdominal surgery [31].…”