Effect of ovarian transplantation to the uterus ("Estes operation") on reproduction in the rabbit.

The effectiveness of the "Estes operation," which was developed to correct fertility problems in humans suffering from tubal incompetence, was studied using rabbits. The ovaries of mature does were surgically transplanted into their uteri and the effects of this altered state on reproduction, host tissue and graft tissue were appraised. Animals with transplanted ovaries showed normal breeding behavior, but the only pregnancies resulted when does that had received heterotransplanted ovaries also retained their own ovaries in situ . Young produced in those pregnancies were shown to have originated from ova ovulated from the host's normal ovaries. Transplanted ovaries disappeared from the uterus, either by resorption or expulsion, within eight weeks if they were separated from their pedicles but were retained if left attached to their pedicles. Presumably the difference reflects the state of vascularization. Scar tissue developed at the junction of ovary and uterus, and the endometrial epithelium became continuous with the germinal epithelium of the ovary. The uteri receiving pedicled ovaries retained their normal size. Those of ovariectomized does were about half the weight of normal uteri and those of ovariectomized does receiving unpedicled ovaries atrophied to a size about half those of the ovariectomized does. When intact does received heterotransplanted ovaries in their uteri, those uteri hypertrophied to approximately twice the size of normal uteri. The effects of transplanting ovaries to the uterine lumen, as reported here, could explain the poor pregnancy success rate in humans and the complete failure to achieve pregnancies in any other mammalian species by use of the "Estes operation."