Persistent megalocystic ovaries after ovarian hyperstimulation syndrome in a postpartum patient with polycystic ovarian syndrome: a case report

Abstract

BackgroundOvary enlargement is common in controlled ovarian stimulation, which could continue several months during a successful pregnancy. However, persistent megalocystic ovaries 3 years after ovarian hyperstimulation syndrome (OHSS) were rare. Here we will present you the case and treatment as well as discuss the probable etiology.Case presentationA 34-year-old woman with polycystic ovarian syndrome (PCOS) and a history of infertility presented to the Department of Obstetrics and Gynecology at Peking Union Medical College Hospital with abdominal pain and persistently enlarged ovaries 36 months after OHSS. Enlarged ovaries were evaluated with ultrasonography and serum tests. Diagnostic laparoscopic surgery with detorsion and drainage followed by GnRHa treatment was performed. Symptoms and ovarian size evaluated by vaginal ultrasound were the main outcome measures. The patient was discharged from the hospital 5 days after surgery without any remarkable complications. Both ovaries recovered to almost normal after a monthly injection of GnRHa for 3 months.ConclusionsOvarian enlargement may persist for a long time in patients with severe OHSS even after sex hormone levels and ovarian functions return to normal. Long term follow-up is necessary and ovarian torsion should be suspected when accompanied by abdominal pain. Acupuncture plus GnRHa treatment may be an effective way for these cases.

Knowledge and Attitudes of Non-Medical Faculty Students Batch 2020 about Polycystic Ovarian Syndrom (PCOS) at Tarumanagara University

“…There is abnormalities in the formation of the hormone testosterone in the ovaries, high insulin levels, thereby increasing hormone production of luteinizing hormone (LH) and causes more androgen hormones to be produced, a genetic factor of the older sister and mother. (American College of Obstetricians and Gynecologists, 2015) From the disorder, the PCOS patients can experience infertility, endometrial cancer, even cardiovascular disease because it is associated with insulin resistance and obesity (Muharam et al, 2020;Shi et al, 2018).…”

The Treatment with Complementary and Alternative Traditional Chinese Medicine for Menstrual Disorders with Polycystic Ovary Syndrome

“…As one of the complementary and alternative therapies, acupuncture is getting more and more attention in the treatment of PCOS patients with menstrual disorders [ 66 ], and there have been a number of reports on the efficacy of acupuncture in treating PCOS. However, there has been no study on the method and quality of standard reports on the effectiveness of acupuncture and moxibustion on PCOS [ 67 – 70 ]. In Zheng et al ‘s randomized controlled clinical trial [ 71 ], 86 patients were randomly divided into abdominal acupuncture group and metformin group, with 43 patients in each group.…”