Exercise-induced ovarian torsion in the cycle following gonadotrophin therapy: Case report

Authors: E.D. Littman; J. Rydfors; A.A. Milki

Source: Human Reproduction, Volume 18, Number 8, August 2003 , pp. 1641-1642(2)

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Abstract:

The incidence of ovarian torsion has been reported to be increased during controlled ovarian hyperstimulation. In this report we describe exercise-induced ovarian torsion in an ovary with a persistent cyst, following a failed gonadotrophin-stimulated intra-uterine insemination cycle. This report suggests that the risk of ovarian torsion persists beyond the treatment cycle and that patients should be instructed to refrain from exercise or strenuous activity if regression to normal ovarian size has not been documented. Ovarian torsion should be high in the differential diagnosis in patients experiencing abdominal pain with a history of recent gonadotrophin stimulation.

Keywords: exercise/gonadotrophin stimulation/laparoscopy/ova

Document Type: Research article

DOI: http://dx.doi.org/10.1093/humrep/deg338

Affiliations: 1: To whom correspondence should be addressed: e-mail: milki4@aol.com

Publication date: 2003-08-01

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Human Reproduction features full-length, peer-reviewed papers reporting original research, clinical case histories, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology, endocrinology, andrology, gonad function, gametogenesis, fertilization, embryo development, implantation, pregnancy, genetics, genetic diagnosis, oncology, infectious disease, surgery, contraception, infertility treatment, psychology, ethics and social issues. The highest scientific and editorial standard is maintained throughout the journal along with a rapid rate of publication.