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Sadeghi, L., Ghasemzadeh, A., Hamdi, K., Navali, N., Hakimi, P., & Farzadi, L. (2023). A treatment approach of severe vulvar edema in ovarian hyperstimulation syndrome patient: A case report. International Journal of Reproductive BioMedicine (IJRM), 21(7), 585–590. https://doi.org/10.18502/ijrm.v21i7.13896

https://doi.org/10.18502/ijrm.v21i7.13896

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authors

  • Leila Sadeghi

    Leila Sadeghi

    Department of Obstetrics and Gynecology, Alzahra Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Aliyeh Ghasemzadeh

    Aliyeh Ghasemzadeh

    Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Kobra Hamdi

    Kobra Hamdi

    Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Nazli Navali

    Nazli Navali

    Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Parvin Hakimi

    Parvin Hakimi

    Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Laya Farzadi

    Laya Farzadi

    Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Published Date

  • Aug 19, 2023

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

International Journal of Reproductive BioMedicine (IJRM) / International Journal of Reproductive BioMedicine (IJRM): Volume 21, Issue No. 7 / Pages 585–590

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.


Key words: Ovarian hyperstimulation syndrome, Massage, Vulva.

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