Ovarian hyperstimulation syndrome developed in a patient who underwent neovagen with the diagnosis of Müllerian agenesis and was a candidate for uterine transplantation: Case Report

Year 2023, Volume: 1 Issue: 2, 65 - 68, 29.05.2023

Elif Yuce Bilgin , Yonca Satici Gumus , Evrim Koca , Nefise Nazlı Yenigül

Abstract

We aimed to present OHSS that developed after OPU in a patient who underwent neovagen 10 years ago with the diagnosis of Müllerian agenesis and was awaiting uterine transplant. We wanted to draw attention to successful approaches in such groups of patients with Müllerian agenesis.
A 35-year-old sexually active patient who applied to the Gynecology and Obstetrics Emergency Service of our institution with the complaint of abdominal pain had zero gravida. In her anamnesis, a 15-year-old patient who applied to the obstetrics clinic with the complaint of primary amenorrhea was diagnosed with MRKH syndrome in an external center. Neovagen was performed by laparoscopic method due to vaginal agenesis of the patient in an external center in 2012. The patient was informed and admitted to the gynecology service for follow-up with the diagnosis of mild OHSS.
The patient was informed and admitted to the gynecology service for follow-up with the diagnosis of mild OHSS. During the follow-up period, waist circumference and weight did not increase, the follow-up was balanced, no free fluid was observed in the abdomen in the ultrasonography, there was no electrolyte imbalance, there was no deterioration in liver-kidney functions and hemoconcentration did not develop. The patient was discharged on the 3rd day of hospitalization due to the regression of abdominal pain.
OHSS may be one of the difficulties experienced by all Müllerian agenesis patients who decide to become a real family. These patients should be given up-to-date information about neovagen production, IVF processes and uterine transplantation by all obstetricians. Considering all of these approaches will raise awareness in this patient population, which faces a variety of lifelong challenges in starting a family.

Keywords

ohss, neovagen, müllerian agenesis, uterine transplatation

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