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

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 ۲۶-yr-old woman with severe OHSS, recombinant follicle-stimulating hormone therapy. ۸ 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 ۱۵ days of conservative treatment, hand massage and compressive bandaging of the vulva were performed, which caused rapid recovery within ۲۰ 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.

کلیدواژه ها:

Ovarian hyperstimulation syndrome ، Massage ، Vulva. ، سندرم تحریک بیش از حد تخمدان ، ماساژ دادن ، فرج.