A 32-year-old woman with a recurrent ovarian tumour delivered a healthy baby after undergoing fertility-preservation treatment and in-vitro fertilisation (IVF) despite having very low ovarian reserve following two previous surgeries.
Fifteen months later, an MRI revealed a large cyst in the left ovary, prompting a second surgery. Testing confirmed a borderline tumour with microinvasion but found no evidence of spread into surrounding tissues. The tumour recurred in the same ovary within three months. Consequently, the woman was referred to Milann Fertility and Birthing Hospital in Bengaluru. She wished to have a child using her own eggs, even as specialists assessed the risks associated with the condition and the limited ovarian tissue remaining. At Milann hospital, scans showed a complex cyst in the left ovary and only two visible follicles, which contain eggs. The case was managed by a multidisciplinary team that planned treatment to address the recurrent tumour while preserving the possibility of pregnancy. along with the omentum, was recommended as definitive treatment, the couple wanted to explore the possibility of having a genetically related child Although removal of both ovaries and fallopian tubes. The team adopted a two-stage approach, first removing the affected ovarian tissue while preserving access to the remaining tissue, and then proceeding with fertility treatment. “Our priority was to preserve her fertility while minimising hormonal exposure. Shilpa Reddy, consultant in Reproductive Medicine and Gynaecology at the hospital.
The woman was diagnosed with a borderline seromucinous ovarian tumour with microinvasion at the age of 30. Her right ovary could not be visualised, and her anti-Müllerian hormone (AMH) level was 0.6 ng/ml, indicating very low ovarian reserve.
A personalised IVF approach and natural-cycle embryo transfer helped us achieve pregnancy,” said T.
