Vaginal cuff dehiscence following controlled ovarian stimulation recognized during egg retrieval

• Main Authors: Alexandra Peyser, Avner Hershlag, Antoinette Sakaris, Tomer Singer
• Format: Article
• Language: English
• Published: BMC 2019-11-01
• Series: Fertility Research and Practice
• Subjects: Vaginal cuff dehiscence; Controlled ovarian stimulation; Egg retrieval
• Online Access: http://link.springer.com/article/10.1186/s40738-019-0064-x
• ISSN: 2054-7099

Abstract Background Vaginal cuff dehiscence is a rare complication of hysterectomy. Those who choose to undergo controlled ovarian stimulation (COS) and oocyte cryopreservation following hysterectomy must be aware that elevated abdominal pressure from stimulation as well as transvaginal ultrasound use during monitoring may increase the risk of cuff dehiscence. Case We present a case of a 25-year-old patient who had undergone a hysterectomy four months prior for endometrial cancer who was found to have vaginal cuff dehiscence which was recognized at the time of egg retrieval after COS. Prompt recognition and appropriate management led to successful treatment. Conclusion Patients presenting for oocyte cryopreservation following hysterectomy are at risk for cuff dehiscence. Providers should allow ample time for proper cuff healing prior to COS and oocyte cryopreservation.