Ovarian Malposition in Women With Uterine Anomalies

OBJECTIVE:To evaluate the incidence of malposition of the ovary in patients with uterine anomalies compared to patients with a normal uterus. METHODS:Ovarian malposition was investigated in 1082 patients via laparoscopy. Only ovaries in which the upper pole was attached to the area above the common iliac vessels were designated as malpositioned; often the lower pole was attached inside the pelvis. These patients were divided into two groups. Group I consisted of women with congenital uterine anomalies (divided into subgroup A, congenital absence of the uterus and unicornuate uterus, and subgroup B, other uterine anomalies). Group II included those women with a normal uterus (control group). RESULTS:The incidence of malposition of the ovary was higher in group I than group II (P < .001). When we separately compared subgroup A and subgroup B with the control group, only subgroup A had a significantly higher incidence (P < .001). CONCLUSION:Our results reveal that the incidence of malposition of the ovary is higher in patients with congenital uterine anomalies than in a control group. This is especially true when the uterus is absent or is only partially present. (Obstet Gynecol 1994;83:293-4)