Does Surgery to Preserve Fertility in Sertoli-Leydig Cell Tumors Increase the Likelihood of Spontaneous Conception?

A woman in her 30s with primary infertility and secondary amenorrhoea was diagnosed with a Sertoli-Leydig cell tumour (SLCT) after presenting with virilisation and a right ovarian mass. Following a fertility-sparing staging laparotomy, histopathology confirmed the tumour as stage IA. Post-surgery, her serum testosterone levels decreased significantly, and menstruation resumed within 30 days. This case highlights the importance of considering SLCTs in young women with similar symptoms and demonstrates that fertility-preserving surgery can be a viable option in early-stage SLCTs, emphasizing the need for a multidisciplinary approach in management.