Catamenial Hemoptysis Managed With Medroxyprogesterone Acetate: A Management Dilemma

Ashwin Rao, Rashmi Rao
In: International Journal of Women's Health and Reproduction Sciences · 2020 · vol. 9(2) , pp. 153–155 · doi:10.15296/ijwhr.2021.27 · W3126035932
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details the successful medical management of a 26-year-old woman's catamenial hemoptysis due to pulmonary endometriosis using Medroxyprogesterone Acetate.

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This paper reports a single 26-year-old woman with catamenial hemoptysis and chest pain, in whom pulmonary endometriosis (thoracic endometriosis syndrome) was diagnosed after ruling out tuberculosis and Wegener’s granulomatosis, using investigations including high-resolution computed tomography. The patient was treated medically with depot medroxyprogesterone acetate and regestrone because she did not want surgical management, and the authors describe a successful change in management compared with the more common surgical approaches for pulmonary endometriosis. A stated limitation is that this is a case report, so findings cannot establish broader effectiveness of medical therapy. This paper is centrally about endometriosis — specifically thoracic endometriosis syndrome causing catamenial hemoptysis managed with medroxyprogesterone acetate.

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Abstract

Introduction: Endometriosis is the deposition of endometrial glands and stroma outside the uterus and can be of pelvic or extrapelvic type. Thoracic endometriosis syndrome (TES) is associated with endometriosis in the pleura or the lungs, as well as cyclical pneumothorax, chest pain, haemoptysis, and pulmonary nodules. TES can be misdiagnosed for the more prevalent pulmonary tuberculosis in countries such as India. Case Report: A married woman aged 26 years old was presented with complaints of hemoptysis and chest pain during menstruation. On further investigations, she was diagnosed with pulmonary endometriosis after ruling out tuberculosis and Wegener's granulomatosis. The patient was treated with depot Medroxyprogesterone acetate and regestrone since she was unwilling for surgical management. The significant change in management is that most cases of pulmonary endometriosis have been managed surgically whereas our case has been successfully managed medically. Conclusions: This case is an example for successful medical management of pulmonary endometriosis in patients who cannot or do not want to undergo a bilateral oophorectomy and a possible thoracotomy. Surgical management with bilateral oophorectomy is associated with premature menopausal symptoms, increased risk of cardiovascular diseases, and obesity. In cases of subfertility or in nulliparous women, the medical management of pulmonary endometriosis gives women a chance at fertility in the future.
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Apr 2021, Vol 9, Issue 2 Advanced Search For Author's & Reviewer's Poll How do you find the scientific quality of the published articles on our web site? | Case Report | | | Catamenial Hemoptysis Managed With Medroxyprogesterone Acetate: A Management Dilemma | | | Ashwin Rao, Rashmi Rao | | | Department of Obstetrics and Gynecology, Salem Polyclinic, No.250, Omalur Main Road, Salem-636007, Tamil Nadu, India | | | IJWHR 2021; 9: 153-155 DOI: 10.15296/ijwhr.2021.27 Viewed : 3417 times Downloaded : 3479 times. Keywords : Thoracic endometriosis syndrome, Extra-pelvic endometriosis, Medroxyprogesterone acetate, Tuberculosis, High-resolution computed tomography | | | Full Text(PDF) | Related Articles | | | Abstract | | Introduction: Endometriosis is the deposition of endometrial glands and stroma outside the uterus and can be of pelvic or extra-pelvic type. Thoracic endometriosis syndrome (TES) is associated with endometriosis in the pleura or the lungs, as well as cyclical pneumothorax, chest pain, haemoptysis, and pulmonary nodules. TES can be misdiagnosed for the more prevalent pulmonary tuberculosis in countries such as India. Case Report: A married woman aged 26 years old was presented with complaints of hemoptysis and chest pain during menstruation. On further investigations, she was diagnosed with pulmonary endometriosis after ruling out tuberculosis and Wegener’s granulomatosis. The patient was treated with depot Medroxyprogesterone acetate and regestrone since she was unwilling for surgical management. The significant change in management is that most cases of pulmonary endometriosis have been managed surgically whereas our case has been successfully managed medically. Conclusions: This case is an example for successful medical management of pulmonary endometriosis in patients who cannot or do not want to undergo a bilateral oophorectomy and a possible thoracotomy. Surgical management with bilateral oophorectomy is associated with premature menopausal symptoms, increased risk of cardiovascular diseases, and obesity. In cases of subfertility or in nulliparous women, the medical management of pulmonary endometriosis gives women a chance at fertility in the future. | Cite By, Google Scholar Submit Paper Online Submission System IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal Online Submission System IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal Publication Information Publisher Aras Part Medical International Press Editor-in-Chief Arash Khaki Mertihan Kurdoglu Deputy Editor Zafer Akan Aras Part Medical International Press Editor-in-Chief Arash Khaki Mertihan Kurdoglu Deputy Editor Zafer Akan Published Article Statistics

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