A 31-year-old African American G0 female was referred for primary infertility for
18 months. Her history was significant for irregular menstrual cycles with new onset
galactorrhea and 2 previous laparoscopic bilateral ovarian cystectomies. The patient
was undergoing psychotherapy for severe depression/anxiety and was treated with escitalopram
(Lexapro) 20 mg and bupropion (Wellbutrin) 100 mg daily. Her physical examination
was significant for bilateral breast discharge. A transvaginal ultrasound (TVS) revealed
normal endo/myometrial echoes and an asymmetric enlarged left ovary measuring 75 ×
59 mm with multiple cysts measuring 47, 38, 33, and 20 mm, respectively, whereas the
right ovary was unremarkable.
Keywords
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Article Info
Publication History
Accepted:
June 22,
2022
Received:
April 6,
2022
Footnotes
Disclosures: The authors declare they have nothing to disclose.
All authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
