The pain is not from the uterus: a rare complication of ovarian cyst during term labour

A case of primigravida with an ovarian torsion at 39 weeks of gestation is reported here. A Malay lady in her late 20s with a known case of ovarian cyst complained of sudden onset of severe pain during labour. Diagnosis of ovarian torsion was made and she underwent laparotomy cystectomy with emergency lower segment caesarean section in the same setting. Post-operative recovery was unremarkable. Histopathological examination confirmed mucinous cystadenoma

Spontaneous pregnancy in a patient with premature ovarian insufficiency after a failed attempt of ovulation induction

Premature ovarian insufficiency (POI) is defined as intermittent or permanent gonadal insufficiency before age of 40 years. POI causes female infertility hence pregnancies are uncommon but not impossible. Ovarian failure is not permanent, unlike menopause. There could be intermittent ovulation and spontaneous pregnancy. Many protocols aimed to restore ovarian functions have been described in the recent years. This is a case of POI women who conceived spontaneously in the immediate menstrual cycle after a failed attempt at ovarian stimulation following many years on hormone replacement therapy (HRT). She had an unremarkable pregnancy and delivered a healthy baby via caesarean section