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Pregnancy after mumps: a case report.
Journal of Medical Case Reports ( IF 0.9 ) Pub Date : 2019-12-22 , DOI: 10.1186/s13256-019-2271-9
Parviz Shahabi 1 , Shiva Asadzadeh 1 , Hossein Bannazadeh Baghi 2, 3 , Behnaz Sadeghzadeh Oskouei 4, 5
Affiliation  

INTRODUCTION Oophoritis, a complication of mumps, is said to affect only 5% of all postpubertal women. In this report, we present a case of a 31-year-old Iranian woman with amenorrhea and infertility due to an infantile uterus and atrophic ovaries associated with contracting mumps at a young age. She later successfully carried a healthy baby to term. CASE PRESENTATION The patient was diagnosed with oophoritis when she was 8 years of age. She had no menses before treatment. The patient underwent a low-dose contraceptive treatment from age 19 until she was 31 years of age. During this period, the size of her uterus was constantly monitored, which revealed constant yet slow uterine growth. At age 31, Drospil (containing 3 mg of drospirenone and 0.03 mg ethinyl estradiol) treatment was initiated and administered for 3 months, which led to substantial uterine growth and menses. After her uterus had reached a mature size, the patient was referred to an assisted reproductive technology clinic. There she received a donor oocyte that was fertilized with the sperm of her husband. She had a successful low-risk pregnancy after the second embryo transfer. CONCLUSION Low-dose contraceptive treatment containing progesterone, followed by Drospil, which includes both estradiol and progesterone, had a synergistic effect that led to the growth of the patient's uterus.

中文翻译:

腮腺炎后怀孕:一例病例报告。

引言据称,腮腺炎是一种流行性腮腺炎的并发症,仅影响所有青春期后妇女的5%。在本报告中,我们介绍了一名31岁的伊朗妇女,由于婴儿期子宫和萎缩性卵巢炎,与年轻时的腮腺炎有关,因此有闭经和不孕症。她后来成功地将一个健康的婴儿带到了足月。病例介绍该患者在8岁时被诊断出患有卵巢炎。治疗前她没有月经。该患者从19岁到31岁接受了小剂量避孕药治疗。在此期间,她的子宫大小受到不断监测,显示出子宫持续而缓慢的生长。在31岁时,开始进行Drospil(包含3 mg屈螺酮和0.03 mg炔雌醇)治疗,并给予3个月的治疗,导致大量的子宫生长和月经。子宫达到成熟大小后,患者被转诊至辅助生殖技术诊所。她在那里接受了供体卵母细胞,该卵母细胞与丈夫的精子受精。第二次胚胎移植后,她成功进行了低危妊娠。结论低剂量的避孕药含有孕酮,随后是Drospil,其中包括雌二醇和孕酮,具有协同作用,可导致患者子宫的生长。
更新日期:2019-12-22
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