A treatment approach of severe vulvar edema in ovarian hyperstimulation syndrome patient: A case report.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY

International Journal of Reproductive Biomedicine Pub Date : 2023-08-23 eCollection Date: 2023-08-01 DOI:10.18502/ijrm.v21i7.13896

Leila Sadeghi, Aliyeh Ghasemzadeh, Kobra Hamdi, Nazli Navali, Parvin Hakimi, Laya Farzadi

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引用次数: 0

Abstract

Background: Ovarian hyperstimulation syndrome (OHSS) is a serious life-threatening complication of infertility treatment. Vulvar edema is a disease with various causes and frequent phenomena seen in physiological and pathologic conditions like pregnancy, inflammatory disorders, tumors, idiopathic reasons, and most importantly, in the severe form of OHSS.

Case presentation: Here, we report a 26-yr-old woman with severe OHSS, recombinant follicle-stimulating hormone therapy. 8 days later, we observed a mild and asymmetrical swelling of the vulva with severe edema in the right labia. Due to the worsening of the vulvar edema even after 15 days of conservative treatment, hand massage and compressive bandaging of the vulva were performed, which caused rapid recovery within 20 min of the case.

Conclusion: Treatment with a hand massage with lubricant gel followed by compressive bandaging resolved the vulvar edema immediately; it is an easy procedure without any adverse events.

Abstract Image

查看原文本刊更多论文

卵巢过度刺激综合征患者严重外阴水肿的治疗方法：一例报告。

背景：卵巢过度刺激综合征（OHSS）是不孕治疗中一种严重的危及生命的并发症。外阴水肿是一种病因多种多样的疾病，在生理和病理条件下常见，如妊娠、炎症性疾病、肿瘤、特发性原因，最重要的是，在严重的OHSS中。病例介绍：我们报告了一名26岁的女性，她患有严重OHSS，接受了重组卵泡刺激激素治疗。8天后，我们观察到外阴轻度不对称肿胀，右阴唇严重水肿。即使在保守治疗15天后，由于外阴水肿仍在恶化，因此进行了手部按摩和外阴压迫包扎，使病例在20分钟内迅速恢复。结论：用润滑剂凝胶进行手部按摩，然后加压包扎，可立即消除外阴水肿；这是一个简单的过程，没有任何不良事件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Reproductive Biomedicine OBSTETRICS & GYNECOLOGY-

CiteScore

2.40

自引率

7.70%

发文量

审稿时长

16 weeks

期刊介绍： The International Journal of Reproductive BioMedicine (IJRM), formerly published as "Iranian Journal of Reproductive Medicine (ISSN: 1680-6433)", is an international monthly scientific journal for who treat and investigate problems of infertility and human reproductive disorders. This journal accepts Original Papers, Review Articles, Short Communications, Case Reports, Photo Clinics, and Letters to the Editor in the fields of fertility and infertility, ethical and social issues of assisted reproductive technologies, cellular and molecular biology of reproduction including the development of gametes and early embryos, assisted reproductive technologies in model system and in a clinical environment, reproductive endocrinology, andrology, epidemiology, pathology, genetics, oncology, surgery, psychology, and physiology. Emerging topics including cloning and stem cells are encouraged.