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Huge Bilateral Ovarian Cysts With Concurrent Hypothyroidism: A Case Report
1Obstetrics and Gynecology, Chotu Ram Hospital, Rohtak, IND.
Cureus
|May 24, 2024
Summary
Severe hypothyroidism in a 19-year-old girl led to giant ovarian cysts. Prompt levothyroxine therapy resolved the cysts, avoiding surgery and revealing polycystic ovarian morphology.
Area of Science:
- Endocrinology
- Gynecology
- Reproductive Medicine
Background:
- A 19-year-old female presented with short stature, low IQ, speech difficulties, and abdominal distension.
- Investigations revealed large, benign abdominopelvic multicystic ovaries and markedly elevated thyroid-stimulating hormone (TSH).
Observation:
- The patient was diagnosed with untreated severe hypothyroidism and giant ovarian cysts, carrying a risk of rupture.
- Conservative management was chosen, initiating levothyroxine replacement therapy.
Findings:
- Within one month, TSH levels normalized, and ovarian cyst size significantly decreased on ultrasonography.
- After three months of thyroid hormone replacement, ovarian cysts resolved, and ovaries exhibited polycystic ovarian morphology.
Implications:
- This case highlights the crucial link between hypothyroidism and ovarian cyst development.
- Effective thyroid hormone replacement therapy can successfully manage benign ovarian cysts associated with hypothyroidism, potentially avoiding surgical intervention.
- Early diagnosis and treatment are vital for favorable outcomes in similar complex endocrine-gynecological presentations.
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