AUTHOR=Silberstein Tali , Freud Amir , Baumfeld Yael , Sheiner Eyal , Weintraub Adi Yehuda , Mastrolia Salvatore Andrea , Trojano Giuseppe , Bernstein Eli Harris , Schwarzman Polina 

TITLE=Influence of ovarian torsion on reproductive outcomes and mode of delivery

JOURNAL=Frontiers in Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1370409

DOI=10.3389/fmed.2024.1370409

ISSN=2296-858X

ABSTRACT=<sec id="sec1"><title>Purpose</title><p>To investigate differences in reproductive outcomes among patients before and following ovarian torsion.</p></sec><sec id="sec2"><title>Study design</title><p>In this retrospective cohort study, we investigated the reproductive outcomes of patients who underwent surgery for ovarian torsion between 1988 and 2015 in a tertiary medical center. Data on deliveries before and after ovarian torsion were compared.</p></sec><sec id="sec3"><title>Results</title><p>During the study period, 199 women underwent surgery due to ovarian torsion. The majority (91.4%; <italic>n</italic> = 182) underwent detorsion, and 8.6% (<italic>n</italic> = 17) underwent unilateral adnexectomy. At the time of the torsion, 27.6% (<italic>n</italic> = 55) of patients were pregnant. Among women who suffered from ovarian torsion, about half (52%) of the deliveries occurred before the torsion and 48% following the torsion. No significant difference in the live birth rate was noted (<italic>p</italic> = 0.19). The fertility treatment rate in our cohort was 7.5% before and 5% after the torsion (<italic>p</italic> = 0.01). In addition, live birth, cesarean delivery, and fertility treatment rates were similar in women who underwent detorsion vs. those who had adnexectomy.</p></sec><sec id="sec4"><title>Conclusion</title><p>Surgically treated ovarian torsion does not appear to negatively influence fertility and live birth potential.</p></sec>