1. Ovarian absence: a systematic literature review and case series report
- Author
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H. Alexander Chen, Alyssa A. Grimshaw, Melissa Taylor-Giorlando, Pavithra Vijayakumar, Dan Li, Miranda Margetts, Emanuele Pelosi, and Alla Vash-Margita
- Subjects
Ovarian agenesis ,Müllerian anomalies ,Renal agenesis ,Gonads ,Embryology ,Infertility ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Ovarian absence is an uncommon condition that most frequently presents unilaterally. Several etiologies for the condition have been proposed, including torsion, vascular accident, and embryological defect. A systematic review was conducted to describe the clinical presentation of ovarian absence, as well as its associations with other congenital anomalies, through a systematic search of Cochrane Library, ClinicalTrials.gov, Google Scholar, Ovid Embase, Ovid Medline, PubMed, Scopus, and Web of Science. Exclusion criteria included cases with suspicion for Differences of Sex Development, lack of surgically-confirmed ovarian absence, and karyotypes other than 46XX. Our search yielded 12,120 citations, of which 79 studies were included. 10 additional studies were found by citation chasing resulting in a total 113 cases including two unpublished cases presented in this review. Abdominal/pelvic pain (30%) and infertility/subfertility (19%) were the most frequent presentations. Ovarian abnormalities were not noted in 28% of cases with pre-operative ovarian imaging results. Approximately 17% of cases had concomitant uterine abnormalities, while 22% had renal abnormalities. Renal abnormalities were more likely in patients with uterine abnormalities (p
- Published
- 2023
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