Recurrent spontaneous ovarian hyperstimulation secondary to hypothyroidism in an adolescent girl

Erol, Onur; Erol, Melek Büyükkınacı; Ayik, Hulya; Derbent, Aysel Uysal

doi:10.1007/s00404-013-2717-z

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…( 32 ) 19 10 weeks - Yes No N/A No No N/A N/A No Erol et al. ( 40 ) 18 - Yes Yes Yes No No No N/A No Yes Rastin et al. ( 47 ) 28 8 weeks - Yes Yes N/A Yes No N/A N/A No Edward-Silva et al.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous ovarian hyperstimulation syndrome in a pregnant woman with hypothyroidism: a case report

et al. 2021

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Objective To study a rare case of spontaneous ovarian hyperstimulation syndrome in a naturally conceived pregnancy associated with overt hypothyroidism. Design Case report. Setting Endocrinology private practice. Patient(s) A 32-year-old woman who was 13 weeks pregnant with bilaterally enlarged ovaries presumed to be secondary to hypothyroidism. Intervention(s) Administration of levothyroxine and titration of the dose. Main Outcome Measure(s) Regression of signs and symptoms of spontaneous ovarian hyperstimulation syndrome after 12 weeks of therapy. Result(s) The patient was diagnosed with severe hypothyroidism, as confirmed by her elevated thyroid-stimulating hormone level. Ultrasound evaluation revealed ovarian enlargement secondary to multiple contiguous cysts with anechoic content. The patient was administered levothyroxine 175 μg/day. Results of hormonal studies demonstrated thyroid function normality at week 12 after treatment. Incomplete regression of ovarian cysts was also noticed within this period. At week 37, the patient developed preeclampsia, and cesarean delivery was recommended. An 8-month postpartum ultrasound evaluation revealed complete regression of the cysts. Conclusion(s) Spontaneous ovarian hyperstimulation syndrome secondary to hypothyroidism may be the cause of ovarian enlargement, and levothyroxine replacement seems an appropriate primary therapeutic option. Proper endocrinological assessment of patients is recommended as it may avoid unfavorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Spontaneous ovarian hyperstimulation syndrome in a pregnant woman with hypothyroidism: a case report

et al. 2021

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“…Through the analysis of 18 case reports involving nonpregnant women with HT and OHSS [6,8,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40], it was observed that the average age of the patients involved in these case reports was 19 years old (M ± SD: 19.08 ± 4.32). All patients exhibited elevated serum TSH levels, reduced serum FT4 concentrations, and normal to low serum luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels.…”

Section: Sohss Combined With Ht In Non-pregnant Womenmentioning

confidence: 99%

Ovarian Hyperstimulation syndrome combined with hypothyroidism: a comprehensive review

Zhou,

Chen,

Bai

et al. 2024

J Ovarian Res

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Ovarian Hyperstimulation Syndrome (OHSS) is a systemic condition marked by the enlargement of the ovaries and heightened vascular permeability. And hypothyroidism (HT) emerges as a potential risk factor for OHSS occurrence. This review presented a comprehensive summary of pertinent case reports involving patients diagnosed with both HT and OHSS. Detailed exploration was conducted into their clinical presentations, diagnostic methodologies, and treatment modalities. Additionally, the review delved into potential interaction mechanisms between HT and OHSS, encompassing various aspects including hormone levels. Moreover, management strategies for mitigating the risk of OHSS in HT patients were thoroughly reviewed and the importance of monitoring thyroid function in those experiencing OHSS was emphasized. This review indicated that the association between HT and OHSS, underscoring its multifaceted complexity. It could accentuate the ongoing necessity for rigorous research and clinical refinement to deepen our comprehension of this association and to bolster diagnostic and therapeutic methodologies for optimal patient care. In conclusion, this review offered valuable insights for future research directions and clinical practices for patients afflicted with OHSS and HT.

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Recurrent spontaneous ovarian hyperstimulation secondary to hypothyroidism in an adolescent girl

Cited by 2 publications

References 6 publications

Spontaneous ovarian hyperstimulation syndrome in a pregnant woman with hypothyroidism: a case report

Spontaneous ovarian hyperstimulation syndrome in a pregnant woman with hypothyroidism: a case report

Ovarian Hyperstimulation syndrome combined with hypothyroidism: a comprehensive review

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