Being a mother is for many women the most important and wonderful experience of their lives. Both the stage of pregnancy and the subsequent growth of the child become very happy years, both for the woman who is a mother, and for her partner. But sometimes you can find difficulties at the time of getting pregnant, which can mean moments of stress and anxiety for both if you want to start a family.
There are several reasons why fertilization may not occur and the baby may not develop inside the mother. One of the main ones may be closely related to problems or alterations in the ovaries. Therefore, when there are diseases associated with this part of the female reproductive system in which they must be removed (as in the case of the appearance of a tumor) or are irreversibly damaged, one of the most frequent concerns is usually: without ovaries can I have children? In we solve this doubt.
How the ovaries work and what their functions are
To be able to propose solutions to get pregnant even if you do not have ovaries or they do not work properly, we first explain what their main functions are and how they work.
The ovaries are a fundamental part of a woman's reproductive system. Inside them are stored eggs. When one of them matures, it leaves the ovary and descends through the fallopian tubes until it reaches the uterus. In this process two things can happen: that the egg is fertilized and when it reaches the uterus the placenta is formed and the process of development and growth of the baby begins; or that it is not fertilized and is removed, along with the entire endometrium in the wall of the uterus, during menstruation. Learn more about what the function of the ovaries is in this other article from.
But this is not its only function. The ovaries also act as a hormone regulator, releasing sex hormones, such as progesterone and estrogen, which are essential for the menstrual cycle and pregnancy to take place. Therefore, both for the release of eggs and hormones, it is true that if you have damaged the ovaries so that they cannot fulfill their functions or if you do not have ovaries, you can NOT have children in a natural way, without help of any kind. But in recent years there have been great advances in medicine that have made this change. Now, with medical help a woman without ovaries can have children, and we do not mean adoption or other methods in which she does not go through pregnancy, but just passing the pregnancy and childbirth herself.
Below, we explain how it is possible for a woman without ovaries to have children.
Autologous transplantation of ovarian tissue to have children
This technique called autologous transplantation of ovarian tissue is relatively new and has been consolidated in the last ten years, with very high success rates. It consists in that in cases in which the removal of both ovaries occurs due to force majeure, such as a tumor, during the process a part of healthy ovarian tissue is extracted and frozen so that, once recovered a stable state of health and adequate for gestation, you can proceed to implant it and have options to get pregnant.
When the woman refers that she wants to try to have a child, the operation is carried out in which this thawed ovarian tissue is introduced, on both sides of the uterus, through a pair of incisions. When it is certain that it is correctly implanted, ovarian functions begin to be stimulated through hormonal therapy, through a procedure very similar to what would be done in the case of assisted reproduction such as in vitro fertilization. In fact, it takes relatively little time to show signs such as swelling in the breasts or production of vaginal discharge, even starting to menstruate again.
How is pregnancy without ovaries and with auto transplantation of ovarian tissue
It is very important that you are clear that, as long as you have both your uterus and your womb without any alteration, despite not having ovaries, you can get pregnant. As we have already mentioned before, the process is very similar to that of in vitro fertilization and as soon as there is a viable embryo, it will be introduced into the uterus, after hormone therapy.
And if the first time you try, you don't get pregnant, don't despair. It can take several attempts, and stress and anxiety only make it harder for it to occur. Then, pregnancy does not have to develop differently from a totally natural and common one, although it is important that you go to the reviews and that you take into account all the indications given by your gynecologist and obstetrician doctors.