I Only Have One Ovary — Am I Fertile?

Having only one ovary does not necessarily mean having fertility problems. A patient with a single ovary but a normal ovarian reserve in that ovary can still become pregnant.

It is true that, since a woman’s supply of eggs is finite, having only one ovary reduces the number of menstrual cycles and therefore the number of available oocytes and the chances of conception — but the patient can still achieve pregnancy.

Having only one ovary does not mean you can’t get pregnant. In fact, many women with a single ovary conceive naturally without the need for medical treatments. The human body is remarkable, and in most cases the remaining ovary can fully compensate for the function of the other.

However, every case is different. Fertility does not depend solely on the number of ovaries, but also on factors such as age, ovarian reserve quality, the health of the uterus and fallopian tubes, and other hormonal or medical aspects. For this reason, some women with a single ovary may need medical support to achieve pregnancy, especially if there are other factors affecting their fertility.

If you are trying to conceive and have questions about your situation, the best option is to consult a reproductive medicine specialist. An expert can evaluate your overall health, run tests if needed (such as a transvaginal ultrasound or an ovarian reserve assessment), and provide personalized guidance and clear next steps.

Having only one ovary should not be a cause for distress. Today, thanks to advances in assisted reproduction, there are many options available to help you fulfill your desire to become a mother if difficulties arise.

Do you have any questions or need more information?

At Fertility Madrid, we specialise in treatments such as egg donation, in vitro fertilisation and artificial insemination, among others.

Please do not hesitate to contact our professionals at our fertility clinic and they will answer all your questions without obligation.