Ovarian hemorrhage in ovulating women receiving anticoagulant therapy. A report of two cases.

Women taking anticoagulants are at increased risk of ovarian hemorrhage when they ovulate. Management depends on the patient's clinical presentation and her medical, including obstetric, history. Bilateral oophorectomy should be considered for selected patients on chronic anticoagulation therapy and for those patients for whom reproduction is of no concern. Ovulatory suppression is warranted when conservative therapy is adopted.