A case of recurrent hyperreactio luteinalis in three spontaneous pregnancies

Area of Science:

• Reproductive Endocrinology
• Obstetrics
• Medical Imaging

Background:

• Hyperreactio luteinalis is a rare pregnancy complication.
• It involves enlarged ovaries with multiple theca luteal cysts.
• Recurrence is seldom documented.

Observation:

• A case of recurrent hyperreactio luteinalis across three spontaneous pregnancies is presented.
• Endocrine evaluation revealed underlying hyperandrogenism.
• Ovarian cysts required drainage in the first pregnancy due to severe symptoms.

Findings:

• The condition recurred in three separate pregnancies in the same patient.
• Ultrasonography monitored ovarian changes throughout each pregnancy.
• Cyst resolution occurred spontaneously postpartum after each pregnancy.

Implications:

• This case expands understanding of hyperreactio luteinalis recurrence.
• It underscores the importance of endocrine evaluation in such cases.
• Management strategies for recurrent cases may need consideration.