Ovarian urgencies and emergencies.

Increasing age affects both the quantity and quality of your eggs. Conceiving naturally after the age of 35yrs becomes increasingly difficult.

Ovulatory pain (the mature follicle growing, stretching, then the follicle rupturing and releasing the egg) occurs in about 20% of women.

This article is an excellent review.

Robertson JJ et al. Myths in the evaluation and management of ovarian torsion. Journal of Emerg Med, 2016.

It is the leading cause of female infertility and affects around 1 in 10 women.

She was a post menopausal Indian lady on IVF with an 82yr old husband. Don't think he will make the 18th birthday party of the twin girls.

Ovarian hypersimulation syndrome can be life threatening. The therapy is based around circulatory support, anticoagulation, empiric antibiotics and controlling electrolye abdomalities. The syndrome is generally self limiting in about 7 days in non pregnant women. OHSS occurs in some form in 30% of assisted reproductive cycles with 1-3% being severe.

In addition there are embryo transfer complications as well as premature births. Often is an emotional rollercoaster.

Derived from germ cells. Can occasionally twist or rupture. Rarely turn malignant. They still spin me out.

Corpus luteum cysts are functional cysts that occur after a follicle releases an egg. The follicle then becomes a secretoiry gland and produces estrogen and progesterone in preparation for pregnancy. If pregnancy does not occur the corpus luteum normally breaks down. Occasionally instead of breaking down it forms a cyst which is usually asymptomatic.

67 of her 69 children survived infancy. A 40yr old Palestinean lady died in 2017 and was also reported to have given birth to 69 children.