Vaginal Extrusion of Huge Decidual Cast: An Exceptional Case Report

Abstract

Infrequent, irregularly irregular delayed menstrual period accompanied by heavy bleeding prolonged for weeks to months was treated with oral norethisterone 5mg tablet in 5mg – 30mg daily divided dose resulted in painful vaginal extrusion of huge fleshy mass (10 x7 x 5 cm) retaining the shape uterus histopathologically confirmed as decidual cast, a rare, as well as incomparable case, is described in an unmarried nulligravida in late twenty’s to alert the association of progesterone to membranous dysmenorrhea. Everyone under the hormonal treatment for menstrual disorders must be educated and made aware of the underlying dreadful possibility of painful vaginal expulsion of decidual cast ascribed to membranous dysmenorrhea to cope or overcome the fright.