A 29-year-old woman is diagnosed with a complete hydatidiform mole and undergoes suction evacuation. Theca lutein cysts measuring 8 cm are noted bilaterally on ultrasound. She is asymptomatic. What is the most appropriate management of these cysts?

• A Immediate laparoscopic cystectomy
• B Ultrasound-guided aspiration of the cysts
• C Oral contraceptive pills to suppress cyst growth
• D Expectant management with follow-up as they typically regress spontaneously ✓

Explanation

Theca lutein cysts are caused by high levels of hCG stimulating the ovaries. After evacuation of a complete mole, as hCG levels decline, theca lutein cysts typically regress spontaneously within 2 to 4 months. Surgical intervention is reserved for complications such as torsion, rupture, or hemorrhage. Expectant management is standard for asymptomatic cases.

Reference: Cunningham et al., Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.