What causes theca lutein cysts?

Theca-lutein cysts are caused by luteinization and hypertrophy of the theca interna cell layer in response to excessive stimulation from human chorionic gonadotropin (hCG) These cysts are predisposed to torsion, hemorrhage, and rupture.

How do you treat theca lutein cyst?

When theca lutein cyst is diagnosed during pregnancy or labor, conservative treatment, including minimal intervention with the cystic ovaries, is advocated. The etiologic role of high levels of human chorionic gonadotrophin (HCG) in these cases is considered.

What should be done if there are theca lutein cysts in gestational trophoblastic disease?

Rarely, when the theca-lutein cysts are stimulated by gonadotropins, massive ascites can result. In most cases, however, abdominal symptoms are minimal and restricted to peritoneal irritation from cyst hemorrhage. Surgical intervention may be required to remove ruptured or infarcted tissue.

How are cysts treated during pregnancy?

Ovarian cyst treatments

1. Rest.
2. Pain medication.
3. Surgery. If surgery is necessary during pregnancy, your doctor will make every effort to perform the surgery laparoscopically (through tiny incisions). If the cyst is large, surgery using laparoscopes may not be possible, and regular abdominal surgery may be necessary.

What is serous cyst?

Serous cystadenomas are usually composed of unilocular (or at times multilocular) cysts filled with clear watery fluid. The cysts measure 10 cm in average diameter but may be extremely large. The lining of the cyst is flat or may contain small papillary projections.

Can a cyst harm my unborn baby?

Fetal abdominal cysts usually don’t cause problems unless they get very large. A big cyst can put pressure on the baby’s developing lungs and other organs. This can cause problems such as: too much fluid in the womb (uterus)

Can a cyst burst while pregnant?

If an ovarian cyst ruptures during pregnancy, it’s most likely to happen in the first trimester or early second trimester and disappear on its own by the middle of the second trimester. A cyst that has ruptured may cause: Sudden, severe pain.

Can a theca lutein cyst be removed during pregnancy?

These cysts resolve after pregnancy. Rarely, when the theca-lutein cysts are stimulated by gonadotropins, massive ascites can result. In most cases, however, abdominal symptoms are minimal and restricted to peritoneal irritation from cyst hemorrhage. Surgical intervention may be required to remove ruptured or infarcted tissue.

Can a theca lutein cyst cause postpartum regression?

Theca lutein cysts are benign neoplasms known to be associated with twins, molar pregnancy and erythroblastosis fetalis, but they are only rarely associated with a normal singleton pregnancy. Their natural course is postpartum spontaneous regression. Documented cases were noted because of abdominal pain or dystocia.

Can a gonadotropin cause a theca lutein cyst?

Rarely, when the theca-lutein cysts are stimulated by gonadotropins, massive ascites can result. In most cases however, abdominal symptoms are minimal and restricted to peritoneal irritation from cyst hemorrhage. Surgical intervention may be required to remove ruptured or infarcted tissue.

What kind of cyst is a lutein cyst?

Theca lutein cysts (TLC), also known as hyperreactio luteinalis (HL), are a type of functional ovarian cysts.