Question
A 27-year-old woman is undergoing ovulation induction for assisted reproductive treatment of infertility. On an ultrasonographic evaluation of follicular maturation, bilateral 4-cm solid ovarian tumors and moderate collections of peritoneal fluid are found. Which of the following is the most appropriate management of these findings?
| A. |
exploratory laparotomy |
| B. |
diagnostic laparoscopy |
| C. |
measurement of serum CA-125 |
| D. |
delay conception for at least 1 month |
Show Answer
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Correct Answer � D Explanation |
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Ans. (D)
Theca lutein cysts are uncommon but are not infrequent complications of iatrogenic stimulation of the ovaries. Almost always bilateral and frequently associated with ascites, these tumors are benign and self-limited. Conception should be delayed because the persistent stimulation by hCG could cause further growth. Spontaneous regression should be expected.