Ovarian transposition (also called oophoropexy) is a fertility-preserving surgical procedure in which one or both ovaries are surgically moved out of the anticipated radiation field—typically to a higher and more lateral position in the abdomen—to protect ovarian function.
Why it’s done
- Indication: To prevent premature ovarian failure and preserve fertility/hormonal function in women receiving pelvic radiotherapy for cancers such as:
- Cervical cancer
- Vaginal/vulvar cancer
- Rectal cancer
- Hodgkin/non-Hodgkin lymphoma involving pelvic fields
- Radiation doses > 4–6 Gy can cause permanent ovarian damage; transposition reduces exposure.