Can you still get pregnant after a miscarriage if you only have one ovary?

Generally, if a woman has only one ovary, but the egg quality remains unaffected after miscarriage and the uterine environment is normal, she can usually achieve a normal pregnancy. However, if the miscarriage has impaired ovarian function, leading to abnormal ovulation or an altered intrauterine environment, fertility may be affected and the likelihood of natural conception significantly reduced. A detailed analysis is as follows:

The ovaries are one of the key reproductive organs in women, primarily responsible for developing follicles and releasing eggs. When one ovary is removed, the remaining ovary can still ovulate normally. In such cases, if the miscarriage did not damage ovarian function or the uterine environment, and there are no issues such as anovulation, infection, or intrauterine adhesions, the conditions for pregnancy remain intact, and natural conception is typically possible.

However, if the remaining ovary is itself abnormal and the miscarriage further compromises its function—resulting in anovulation—sperm and egg cannot unite properly to form a fertilized embryo, thus preventing pregnancy. In such cases, timely ovulation monitoring is essential. For patients with anovulation, ovulation-inducing medications such as clomiphene citrate tablets, letrozole tablets, or urofollitropin for injection may be used under medical supervision.

Miscarriage may cause certain damage to the female reproductive system, increasing the risk of complications such as thin endometrium, blocked fallopian tubes, or intrauterine adhesions. These conditions can further reduce the chances of conception, and in some cases, prevent natural pregnancy altogether. Therefore, underlying conditions should be promptly treated to ensure a healthy uterine and tubal environment.

If planning for pregnancy, regular hospital check-ups are recommended to monitor personal health and reproductive status. Any abnormalities detected can then be managed appropriately under medical guidance to improve the chances of conception. During this period, maintaining a positive emotional state and avoiding excessive stress is also important.