The incidence of hyperandrogenism during pregnancy is low, although the incidence of some of the ovarian diseases that can cause it is higher. Hyperreactio luteinalis is a rare benign condition that may mimic ovarian and trophoblastic malignancies. A 23-year-old woman at 20 weeks' gestational age presenting with severe hirsutism and ovarian masses was treated conservatively and subsequently gave birth to a healthy female neonate. Final diagnosis was hyperreactio luteinalis. Conservative management with close monitoring of patients with hyperreactio luteinalis represents the best approach in such rare cases. Counseling should be provided to reassure the patient as to the transient effects of hyperandrogenism on the mother and the fetus.
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http://dx.doi.org/10.1080/09513590701214513 | DOI Listing |
Sultan Qaboos Univ Med J
November 2024
Radiology, The Royal Hospital, Muscat, Oman.
Hyperreactio luteinalis (HL) and ovarian hyperstimulation syndrome during pregnancy are both benign conditions where the ovaries are enlarged with presence of multiple thin-walled cysts. The differential diagnosis is ovarian malignancy. Hyperandrogenism with resultant maternal virilisation could be seen in some cases of HL as well as in androgen secreting tumours.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2024
First School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China. Electronic address:
Cureus
March 2024
Department of Obstetrics and Gynaecology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
The hydatidiform mole is a rare gynaecological condition originating from trophoblastic cells, with an incidence of 1-3 per 1000 pregnancies. Theca lutein cysts (TLCs) and an invasive mole are rarely observed in association with a partial mole. This case describes an unusual case involving a 17-year-old primigravida at 11 weeks of gestation.
View Article and Find Full Text PDFTrop Doct
January 2024
Assistant Professor, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Case Rep Obstet Gynecol
September 2023
Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, 113-8655, Japan.
Hyperreactio luteinalis (HL) is a rare condition that presents as bilateral ovarian enlargement during pregnancy. Typically, it is thought to be caused by increased production of human chorionic gonadotropin (hCG) associated with gestational trophoblastic diseases or multiple pregnancies. The prognosis is relatively good, with many cases resulting in term birth.
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