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Can One Get Pregnant with One Ovary? | Fertility with One Ovary

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Last updated: November 04, 2025

Overview

Some women have only one ovary due to either surgical or natural reasons. They might be born with a single ovary because of a congenital condition or lose one later in life due to medical reasons. Often, women with a single ovary wonder, “Can I get pregnant with one ovary?” The short answer is yes. Although it may have a less responsive reaction to ovarian stimulation, having one ovary does not eliminate your chances of becoming pregnant. If your ovarian reserve is normal in one ovary, you can still conceive naturally and successfully. If you face challenges, assisted reproductive techniques like IVF can help you overcome them with proper medical guidance. This article examines how one ovary functions, the likelihood of conceiving naturally or through treatment, and provides practical tips to enhance fertility health for women with a single ovary.

How One Ovary Affects Egg Production

The human body is truly adaptable. Even with one ovary, the reproductive system can continue functioning effectively. The remaining ovary maintains hormone balance, supports ovulation, and preserves fertility potential. While the number of eggs may be slightly lower, the quality of eggs generally remains strong, ensuring a good chance of conception.

  • The remaining ovary continues to release an egg every month, maintaining a regular menstrual cycle.
  • Hormone production typically stays balanced for normal reproductive health.
  • Egg quality usually remains unaffected, keeping the chances of pregnancy positive.

Chances of Natural Pregnancy with One Ovary

Most women with a single ovary can conceive naturally, without medical intervention, and within an expected timeframe. Since a woman’s supply of eggs is finite, having only one ovary reduces the number of ovulatory cycles and, consequently, the number of available oocytes and the chances of conception; however, the patient can still achieve pregnancy. The number of eggs is not the only factor that influences fertility; age, hormonal balance, and reproductive health are also involved.

Women who have undergone ovarian surgery or have conditions like endometriosis or cysts may have a slightly reduced chance of conceiving. Nevertheless, this largely depends on the severity of the damage or scarring. With appropriate medical care and a healthy lifestyle, a normal pregnancy remains achievable.

Assisted Reproductive Options

Couples experiencing a delay in natural conception can consider assisted reproductive options, especially IVF. Assisted reproductive techniques often increase the fertility potential, even when a single ovary is present. IVF using one ovary is possible, as doctors retrieve the eggs and fertilise them in a controlled environment. If you intend to get an ovary removed in the future, freezing the eggs can help preserve your chances of pregnancy in the future. Also, fertility medications can help in stimulating ovarian function. This means that more eggs will be released, resulting in an increased likelihood of conception. Hence, one can conclude that:

  • IVF using eggs from the remaining ovary
  • Egg freezing before ovary removal if planned
  • Fertility medications to enhance ovulation from a single ovary

Tips to Improve Fertility with One Ovary

Even with one ovary, there are many things women can do to improve their fertility. These simple lifestyle changes and medical strategies can go a long way in helping to conceive with one ovary:

  • Maintain a healthy lifestyle: Eating a balanced diet and doing moderate exercise can help maintain hormonal balance.
  • Manage stress levels: Yoga, meditation, and counselling are some ways to manage stress that can impact ovulation cycles.
  • Track ovulation cycles: Keep an eye out for your fertile days to increase chances of fertilisation.
  • Consult a fertility specialist: Personalised guidance can provide tailored strategies, including medications or treatments if needed.

Conclusion

The article thoroughly answers the main question that propelled it: “Can I get pregnant with one ovary?” To conclude, it is entirely possible to conceive with just one ovary. An ovary isn’t the sole factor in determining fertility; various elements like hormones, overall reproductive health, and egg quality also contribute. Concentrate on improving your general reproductive health through targeted lifestyle changes and effective medical treatments. Consult fertility specialists for expert guidance. Remember, never lose hope, as help is always within reach.

Common Questions Asked

What are the signs of good egg quality?

 

Regular menstrual cycles, balanced hormone levels, and normal ovulation patterns indicate high egg quality. In fertility assessments, strong embryo development during IVF or high AMH levels may also suggest good egg health.

How many eggs are in one ovary?

 

At birth, each ovary contains around 1 to 2 million eggs, but only about 300,000 to 400,000 remain by puberty. Over a woman’s reproductive years, only about 300 to 400 eggs are released during ovulation.

Do you still have eggs with one ovary?

 

Yes, the remaining ovary usually continues to store and release eggs. It often compensates for the missing ovary, maintaining regular ovulation and hormone balance.

Can stress affect egg quality?

 

Yes, chronic stress can disrupt hormone levels and menstrual cycles, potentially affecting egg quality. Managing stress through relaxation, sleep, and self-care helps support reproductive health.

How many eggs are lost during a period?

 

Only one egg (occasionally two) is released during ovulation each cycle, but hundreds of immature eggs naturally die off in the process. This gradual loss continues until menopause.

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