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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will Sertoli Leydig Tumour Pose A Hindrance To Pregnancy?

good eveningMy name is Queen I am 28 years old in 2012 I had my right ovary removed to a sertoli leydig tumor that was attached to the ovary. Last week I went for a routine checkup and the dr. who was examining me said that there is now a tumor on my left ovary and they need to perform another operation to remove the tumor. I do not have any kids at this stage so my question is what are the chances of pregnancy if any and if my embreyo s are to be harvested will they be healthy and will there be any to be harvested.regardsQueen
Tue, 7 Mar 2017
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General & Family Physician 's  Response
Hello
Thank you for your query.
Am so sorry that you are going through this.

Yes, getting pregnant is definitely a concern, given your diagnosis.

Oocyte (egg) cryopreservation should be considered at this point. This involves stimulating your ovary to develop multiple eggs and harvest them when they mature.
These are then frozen for future use.

Factors that affect this are:
-the staging of the tumor (about 80%are benign). If it is malignant, then removal has to be immediate. In this case pregnancy is unlikely.
-hormone levels (testosterone, estrogen, follicle stimulating hormone, Leutinizing hormone, and mullerian hormone). This determines if you ovulate normally.
-if you have had chemotherapy or radiotherapy previously. This affects the quality and viability of the eggs.

I recommend :
-consult your OBGYN /fertility specialist and oncologist right away to discuss options.
-a thorough and detailed evaluation is necessary before considering options
-please consider all your options calmly before deciding.

If you have a partner, you could consider fertilizing and freezing the embryos for implantation at a later time or surrogacy, if the need arises.
Else, Oocyte preservation can be done.

Sorry, I wish I could have given you a more positive answer.
Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health
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Will Sertoli Leydig Tumour Pose A Hindrance To Pregnancy?

Hello Thank you for your query. Am so sorry that you are going through this. Yes, getting pregnant is definitely a concern, given your diagnosis. Oocyte (egg) cryopreservation should be considered at this point. This involves stimulating your ovary to develop multiple eggs and harvest them when they mature. These are then frozen for future use. Factors that affect this are: -the staging of the tumor (about 80%are benign). If it is malignant, then removal has to be immediate. In this case pregnancy is unlikely. -hormone levels (testosterone, estrogen, follicle stimulating hormone, Leutinizing hormone, and mullerian hormone). This determines if you ovulate normally. -if you have had chemotherapy or radiotherapy previously. This affects the quality and viability of the eggs. I recommend : -consult your OBGYN /fertility specialist and oncologist right away to discuss options. -a thorough and detailed evaluation is necessary before considering options -please consider all your options calmly before deciding. If you have a partner, you could consider fertilizing and freezing the embryos for implantation at a later time or surrogacy, if the need arises. Else, Oocyte preservation can be done. Sorry, I wish I could have given you a more positive answer. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health