Ovarian Surgery from Puberty Through Reproductive Age and After Menopause

Abstract

In patients with cystic ovarian pathology, such as endometriomas, polycystic ovary syndrome (PCOS), teratomas or benign tumours, there is a tendency for abnormal ovarian function. Anovulation and sterility may occur. This chapter summarises normal physiology of the female gonad and the development of oogenesis throughout the reproductive age to menopause. Furthermore, the interaction of ovarian pathology and endocrinology is described. The main focus is on the technique of ovarian-preserving surgery by laparoscopy. In addition, alternative therapeutic approaches and screening tests are discussed.