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- Title
Conservative management of corpus luteum haemorrhage in patients on anticoagulation: a report of three cases and review of literature.
- Authors
Gupta, Avantika; Gupta, Sangeeta; Manaktala, Usha; Gupta, Madhavi; Solanki, Vandana
- Abstract
Introduction: Severe bleeding into the peritoneal cavity from a ruptured corpus luteum cyst is a rare complication in women receiving anticoagulation therapy. Surgical management has been a traditional approach in managing corpus luteum haemorrhage, however, conservative management is now dominating the trend in carefully selected patients. Material and Methods: We report here a series of three cases of corpus luteum haemorrhage with variable presentation. Conservative management was started in all the three patients and was successful in two cases. Finding a safe, effective, and acceptable method to inhibit ovulation in women on anticoagulation for mechanical heart valve is a challenge. All three patients were prescribed cyclical oral Desogestrel for long-term ovulation suppression. Conclusion: Selected patients with haemorrhage secondary to deranged coagulation can undergo conservative management in consultation with cardiologist and hematologist.
- Subjects
THERAPEUTIC complications; HEMORRHAGE treatment; CORPUS luteum; ANTICOAGULANTS; OVARIES; OVARIAN follicle; REGULATION of ovulation; CONTRACEPTION; DISEASES; THERAPEUTICS
- Publication
Archives of Gynecology & Obstetrics, 2015, Vol 291, Issue 2, p427
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-014-3394-2