title: Deep venous thrombosis in a patient undergoing In-vitro fertilization with oocyte donation.
abstract: Deep venous thrombosis (DVT) has been reported extensively following ovarian hyperstimulation syndrome during in-vitro fertilization (IVF). Pregnancy per se increases the risk of DVT due to a hypercoagulable state. The long-term use of hormone replacement therapy (HRT) is another critical factor associated with DVT in women. However, an association between the short-term use of HRT in oocyte donation (OD) cycles and DVT has not yet been reported. We present a case of 43-year-old woman who developed DVT after IVF-OD. DVT was diagnosed at 7 weeks of pregnancy and was managed with low-molecular-weight heparin. We suggest that even a short-term use of HRT should be considered a risk factor for DVT especially in the presence of additional risk factors such as obesity. The patient had an uneventful recovery and delivered three healthy though preterm babies.
authors.affiliation: Nova IVI Fertility, New Delhi, India.
authors.forename: Nalini
authors.initials: N
authors.lastname: Mahajan
authors.affiliation: Nova IVI Fertility, New Delhi, India.
authors.forename: Padmaja
authors.initials: P
authors.lastname: Naidu
authors.affiliation: Nova IVI Fertility, New Delhi, India.
authors.forename: Shalu
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Nova IVI Fertility, New Delhi, India.
authors.forename: Kumkum
authors.initials: K
authors.lastname: Rani
keywords: Frozen embryo transfer; hormone replacement therapy; in-vitro fertilization-oocyte donation; venous thrombo-embolism