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Multiple Ovarian Cysts as the Major Symptom of Hypothyroidism

Multiple Ovarian Cysts as the Major Symptom of Hypothyroidism

In 2008, doctors are the gynecology department in Gunma, Japan reported the case of a women with primary hypothyroidism. The patient was 21-years-old. She was referred to the gynecology department because she complained of abdominal pain. Her abdomen was distended up to the
level of her navel.

Doctors orders ultrasound and a CT scan of her abdomen. These imaging procedure showed that she had multiple cysts of both her right and left ovaries.

Her cholesterol and liver function were increased. Also, a muscle enzyme (creatine phosphokinase) that’s often high in hypothyroidism was high. Blood testing also showed that she had had primary hypothyroidism from autoimmune thyroiditis.

The young woman’s ovarian cysts disappeared after she began thyroid hormone therapy.

Other researchers have reported women with primary hypothyroidism whose main health problems were ovarian cysts or precocious puberty in prepubertal girls. What is unique about this particular case is ovarian cysts resulting from hypothyroidism in a young but adult female.

The researchers cautioned doctors: “To avoid inadvertent surgery to remove an ovarian tumor,” they wrote, “it is essential that a patient with multiple ovarian cysts and hypothyroidism be properly managed, as the simple replacement of a thyroid hormone could resolve the ovarian cysts.”[1]

1. Kubota, K., Itho, M., Kishi, H., et al.: Primary hypothyroidism presenting as multiple ovarian cysts in an adult woman: a case report.
Gynecol. Endocrinol., 24(10):586-589, 2008.


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