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Ovarian Cycle

Ovarian Cycle

The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...

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Hyperreactio luteinalis - two accidental findings during cesarean section.

A Schwandner, M Zámečník, P Kaščák

Ceska Gynekologie

|January 18, 2020

Summary

This summary is machine-generated.

This case report highlights two instances of hyperreactio luteinalis diagnosed during cesarean sections in patients with preeclampsia. Early diagnosis and appropriate management are crucial for these rare ovarian conditions.

Keywords:

human chorionic gonadotropin hyperreactio luteinalis multicystic enlargement of ovaries

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Area of Science:

Reproductive Medicine
Gynecologic Oncology
Obstetrics

Background:

Hyperreactio luteinalis is a rare, benign ovarian enlargement often associated with elevated human chorionic gonadotropin levels.
It can present asymptomatically or with symptoms mimicking ovarian torsion or tumors.
Preeclampsia and multiple gestations are potential contributing factors.

Observation:

Two cases of preeclamptic patients undergoing cesarean section were incidentally found to have bilateral multi-cystic ovarian enlargement.
Elevated hCG levels were noted in both patients. One patient had a history of ovarian serous borderline tumor and a multiple pregnancy post-IVF.

Findings:

Histological examination confirmed hyperreactio luteinalis in both patients.
Surgical interventions including adnexectomy, ovarian resection, and biopsy were performed.

Implications:

The findings underscore the importance of accurate preoperative diagnosis for hyperreactio luteinalis.
Conservative management should be considered when feasible, balancing surgical necessity with potential ovarian preservation.