Oophorectomy: Laparoscopic Ovary and Fallopian Tube Removal
Oophorectomy is the surgical removal of one or both ovaries and their attached fallopian tubes. Unilateral oophorectomy removes one ovary and tube, leaving the other intact. Bilateral oophorectomy removes both ovaries and tubes, eliminating ovarian function and inducing immediate surgical menopause in premenopausal women.
Dr. Andrei performs laparoscopic oophorectomy through small incisions — as an outpatient procedure at Lapeer County Surgery Center for straightforward cases, and at affiliated hospitals for cases involving adhesive disease, large masses, or complex anatomy. Most oophorectomy procedures are same-day with patients going home within a few hours of surgery.
Bilateral salpingectomy — removal of the fallopian tubes without the ovaries — is a related procedure performed for permanent contraception or ovarian cancer risk reduction. When both ovaries and tubes are removed together, the procedure is a bilateral salpingo-oophorectomy (BSO). Dr. Andrei explains the specific procedure recommended for your case at your consultation.
When Oophorectomy Is Recommended
The indication for oophorectomy determines whether unilateral or bilateral removal is appropriate and influences facility selection.
Ovarian cyst or mass requiring removal with the ovary
When an ovarian cyst has replaced so much ovarian tissue that cystectomy alone would leave no functional ovary, or when the mass has features making complete removal the appropriate approach.
BRCA mutation or hereditary ovarian cancer risk reduction
Women with BRCA1 or BRCA2 mutations who have completed childbearing — risk-reducing bilateral salpingo-oophorectomy significantly reduces ovarian and breast cancer risk.
Endometrioma not amenable to cystectomy
An endometriosis cyst that has replaced most ovarian tissue where cystectomy cannot be performed without removing the entire ovary.
Ovarian torsion
When an ovary has twisted on its vascular pedicle and is non-viable — emergency or urgent oophorectomy removes the non-viable ovary.
Concurrent with hysterectomy
Removal of the ovaries at the time of hysterectomy — discussed in detail at the hysterectomy consultation based on age, menopause status, and cancer risk profile.
Recurrent ovarian pathology after prior cystectomy
Ovarian cysts that have recurred after prior cystectomy — particularly endometriomas — where repeat cystectomy carries significant risk to ovarian reserve.
Understanding the Implications
The decision between unilateral and bilateral oophorectomy has significant hormonal consequences for premenopausal women. Dr. Andrei addresses this decision directly at your consultation.
Removal of one ovary and tube. The remaining ovary continues to function normally — no surgical menopause.
- Hormonal function continues from the remaining ovary
- Fertility may be preserved if the remaining ovary functions normally
- No surgical menopause — natural menopause occurs at the expected time
- Same-day discharge for straightforward cases at LCSC
Removal of both ovaries and tubes. Ovarian function ceases immediately — surgical menopause begins on the day of surgery.
- Surgical menopause begins immediately
- Hot flashes, night sweats, and menopause symptoms may begin within days
- Hormone replacement therapy typically recommended for premenopausal women
- Cancer risk reduction: BRCA carriers see significant risk reduction
“The conversation about removing the ovaries — particularly bilaterally in a premenopausal woman — is one I take seriously. The hormonal implications are real and the decision deserves thorough discussion, not a default.”
Consultation Through Recovery
Oophorectomy at Lapeer Women’s Health follows a structured pre- and post-operative process.
Consultation
Dr. Andrei reviews your history, imaging, and the indication for oophorectomy. She explains whether unilateral or bilateral removal is recommended, which facility will be used, and — for premenopausal women having bilateral oophorectomy — the hormonal implications and management plan.
Pre-Operative Preparation
Lab work, clearance, and pre-operative instructions are coordinated. For bilateral oophorectomy, hormone replacement therapy planning may begin at the pre-operative consultation.
Surgery and Discharge
Under general anesthesia, Dr. Andrei performs the laparoscopic oophorectomy. Straightforward unilateral cases at LCSC take 30–45 minutes with same-day discharge. More complex or bilateral cases may require brief overnight observation.
Follow-Up
Dr. Andrei sees you at two weeks to assess healing and review pathology. For bilateral oophorectomy, hormone management is reviewed and adjusted at this visit.
Recovery After Laparoscopic Oophorectomy
Recovery from laparoscopic oophorectomy is shorter than most patients expect — one to two weeks for most cases.
Most patients go home the same day. Mild pelvic cramping and incisional soreness managed with oral medication. Light walking encouraged from day one.
Desk work and light daily activities resume within one to two weeks. Driving resumes once off narcotics.
Most women return to full activity within two to three weeks. Women who have had bilateral oophorectomy may experience menopausal symptoms during this window — managed with HRT.
Questions About Oophorectomy
Laparoscopic Oophorectomy.
Same-Day for Most Cases.
Whether you need one ovary removed or both, Dr. Andrei performs laparoscopic oophorectomy at LCSC or at affiliated hospitals depending on your case. Schedule a consultation to discuss the procedure and recovery.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.