title: Conservative management of corpus luteum haemorrhage in patients on anticoagulation: a report of three cases and review of literature.
abstract: BACKGROUND
  Severe bleeding into the peritoneal cavity from a ruptured corpus luteum cyst is a rare complication in women receiving anticoagulation therapy. Surgical management has been a traditional approach in managing corpus luteum haemorrhage, however, conservative management is now dominating the trend in carefully selected patients.
  
  
  METHODS
  We report here a series of three cases of corpus luteum haemorrhage with variable presentation. Conservative management was started in all the three patients and was successful in two cases. Finding a safe, effective, and acceptable method to inhibit ovulation in women on anticoagulation for mechanical heart valve is a challenge. All three patients were prescribed cyclical oral Desogestrel for long-term ovulation suppression.
  
  
  CONCLUSIONS
  Selected patients with haemorrhage secondary to deranged coagulation can undergo conservative management in consultation with cardiologist and hematologist.
authors.affiliation: Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India, dravantikagupta@gmail.com.
authors.forename: Avantika
authors.initials: A
authors.lastname: Gupta
authors.forename: Sangeeta
authors.initials: S
authors.lastname: Gupta
authors.forename: Usha
authors.initials: U
authors.lastname: Manaktala
authors.forename: Madhavi Mathur
authors.initials: MM
authors.lastname: Gupta
authors.forename: Vandana
authors.initials: V
authors.lastname: Solanki
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects*; D003338:Corpus Luteum / Q000473:pathology*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000628:therapy*; D006801:Humans; D010048:Ovarian Cysts / Q000150:complications; D010529:Peritoneal Cavity / Q000473:pathology; D055815:Young Adult
chemical_list: D000925:Anticoagulants