Definition of "Corpus luteum cyst"

Last modified: 20 hours



Corpus luteum cyst is a type of ovarian cyst, which may rupture about the time of menstruation, and take up to 3 mo to disappear entirely.

Patient information

I'm guessing guessing a corpus luteum cyst is a cyst in the corpus luteum. What's that?
Cyst is just an abnormal cavity containing fluid. Corpus luteum is a structure inside a lady's ovaries, that makes progesterone and estradiol. The corpus luteum is made during the luteal phase of the menstrual cycle, following ovulation.

Sx
  • Corpus luteum cysts may contain blood and other fluids
  • The physical shape of a corpus luteum cyst may appear as an enlargement of the ovary itself, rather than a distinct mass-like growth on the surface of the ovary
  • Can grow to almost 10cm in diameter
  • It has the potential to bleed into itself, or twist the ovary, causing pelvic or abdominal pain
  • If it fills with blood, the cyst may rupture, causing internal bleeding and sharp pain. This pain disappears within a few days of the rupture
Pathophysiology
  • It occurs after an egg has been released from a follicle. The follicle then becomes a secretory gland, called the corpus luteum
  • If pregnancy doesn't occur, the corpus luteum usually breaks down and disappears
  • It may however, fill with fluid or blood, causing the corpus luteum to expand into a cyst, and stay in the ovary
  • Although it is cystic, it doesn't arise from benign corpus luteum cysts
Prognosis
  • In women of reproductive age, cysts <5cm are common, and almost always physiological, rather than a cancer or other disease condition
  • In postmenopausal women, the threshold is <1cm
  • Rarely, it can cause the ovary to twist around the ovarian ligament and can cut off the blood flow to the ovary, called ovarian torsion, causing pain
Epidemiology
  • It rarely occurs at age 50+, because eggs are no longer being produced in menopausal women

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Definition of Corpus luteum cyst | Autoprac


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