Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women

Premenopausal women taking anticoagulation therapy are at risk of developing hemorrhagic ovarian cysts. This paper presents 3 cases of acute hemoperitoneum, with resultant surgical menopause, secondary to cystic hemorrhage in premenopausal women with repaired congenital heart disease (CHD). Adults w...

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Main Authors: Brynn S. Connor, MD, Elizabeth Coviello, DO, Melissa Fries, MD, Anitha S. John, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919300178
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author Brynn S. Connor, MD
Elizabeth Coviello, DO
Melissa Fries, MD
Anitha S. John, MD, PhD
author_facet Brynn S. Connor, MD
Elizabeth Coviello, DO
Melissa Fries, MD
Anitha S. John, MD, PhD
author_sort Brynn S. Connor, MD
collection DOAJ
description Premenopausal women taking anticoagulation therapy are at risk of developing hemorrhagic ovarian cysts. This paper presents 3 cases of acute hemoperitoneum, with resultant surgical menopause, secondary to cystic hemorrhage in premenopausal women with repaired congenital heart disease (CHD). Adults with CHD taking long-term anticoagulation should be considered candidates for ovulation suppression with hormone-based contraception. (Level of Difficulty: Intermediate.)
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spelling doaj.art-60d9d10bcc064cd9954cfeacb6ca7f9a2022-12-21T20:47:52ZengElsevierJACC: Case Reports2666-08492019-06-01115054Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated WomenBrynn S. Connor, MD0Elizabeth Coviello, DO1Melissa Fries, MD2Anitha S. John, MD, PhD3Division of Internal Medicine and Pediatrics, Medstar Georgetown University Hospital, Washington, DC; Address for correspondence: Dr. Brynn S. Connor, Medstar Georgetown University Hospital, Internal Medicine & Pediatrics, 3800 Reservoir Road NW, 6 PHC, Washington, DC 20007.Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, MedStar Washington Hospital Center, Washington, DCDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, MedStar Washington Hospital Center, Washington, DCDivision of Cardiology, Children’s National Medical Center and Medstar Washington Hospital Center, Washington, DCPremenopausal women taking anticoagulation therapy are at risk of developing hemorrhagic ovarian cysts. This paper presents 3 cases of acute hemoperitoneum, with resultant surgical menopause, secondary to cystic hemorrhage in premenopausal women with repaired congenital heart disease (CHD). Adults with CHD taking long-term anticoagulation should be considered candidates for ovulation suppression with hormone-based contraception. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084919300178anticoagulationcongenital heart defecthemorrhagehemorrhagic ovarian cystsovulatory suppression
spellingShingle Brynn S. Connor, MD
Elizabeth Coviello, DO
Melissa Fries, MD
Anitha S. John, MD, PhD
Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
JACC: Case Reports
anticoagulation
congenital heart defect
hemorrhage
hemorrhagic ovarian cysts
ovulatory suppression
title Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
title_full Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
title_fullStr Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
title_full_unstemmed Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
title_short Ovulation Suppression to Prevent Hemoperitoneum and Surgical Menopause in Anticoagulated Women
title_sort ovulation suppression to prevent hemoperitoneum and surgical menopause in anticoagulated women
topic anticoagulation
congenital heart defect
hemorrhage
hemorrhagic ovarian cysts
ovulatory suppression
url http://www.sciencedirect.com/science/article/pii/S2666084919300178
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