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I wouldn't think that's possible. If there's no ovary attached to the falopian tube on one side, and no fallopian tube attached to the ovary on the other side, then there wouldn't be any way for your body to release an egg into a fallopian tube into your womb. IVF is probably your only option. x

Thank you for your anwer, this is my story, in Dec i lost my right fallopian tube from an ectopic pregnancy and in 1999 i lost my left ovary from a cyst. Well the doctor told me i could get pregnant with just one tube and one ovary on opposite sides.. so from Feb 2011 to July 2011 me and my DH were trying every month. I finally made an appt with a fertiltiy dr. He performed an HSG and found that my only tube was blocked. i went through surgery in sept and the doctor unblocked the tube and told me i should be able to get pregnant naturally within 6 months. I've never heard of this happening yet i look for success stories!

I have heard that this is possible. Ovaries are not actually firmly attached to the fallopian tube...instead, the egg gets coaxed into the fallopian tube by the fimbrial segment. This site has a good explanation http://www.tubal-reversal.net/fallopian-tubes.htm. It is my understanding that if the sides don't match up, it is possible for the egg to get swept up on the other side. I'm sure it might minimize your chances a bit, but it is possible to get pregnant. Hope that helps! Good luck :)

My own ob/gyn who I have been working closely with my own fertility issues, just told me last week that she had a patient with the very same condition you described and she did indeed become pregnant and have a baby. I did not ask my doctor if she conceived naturally or with assistance. I would highly recommend to speak with your ob/gyn and perhaps get a referral. Hoping you get pregnant!! :)

So to answer my own question,

It is possible, right now i am living proof of it! last week I found out that I have concieved naturally. I am 4 weeks and 3 days today.

With tons of faith and prayers, i am here today...smile from ear to ear...
thank you all for your support and answers.

I can see that it has been a while since you posted this question.
Yes you can get pregnant with your tube and ovary on opposite sides.
I did, my son is 6 months old and I am two months along with my second. With my first baby my RE prescribed Femera to try and get a really big follicle for that month ( it worked... only 1 follicle @ 27mm!). With my second it was a complete surprise and totally natural.
Good luck. Any updates?

I know this is an old post but I have this same problem and have had no luck getting pregnant since I lost my last child (in June 2013). During the D&C the Dr poked a hole in the uterus (which happens), however he also accidentally removed a portion of one of my fallopian tubes with the suction device. If that wasn't bad enough...it was the tube to the good ovary. They assured me it was the tube on my "BAD" side...I had an HCG and it proved them wrong. Needless to say, I haven't gone back!!

So, my question to those of you who have been successful getting pregnant with one functioning ovary and one fallopian tube on opposite sides...do you ovulate at the same time you would if everything was normal? Did you follow a different ovulation calendar than before...before I got pregnant within two months (TOPS) now I'm so discouraged and don't know what I'm supposed to be doing!!

Update: I did get pregnant naturally with the help of Clomid...I did become pregnant with triplets...they are 14 months old and doing amazing. Don't give up hope..it can happen!