Ovarian Hyper-stimulation Syndrome With IVF


Ovarian hyper stimulation syndrome (OHSS) is an excessive response to taking the medicines with injectable gonadotropins which is used to make eggs grow. Rarely, OHSS can result from taking other medications, such as clomiphene citrate or gonadotropin-releasing hormone. Mostly it occurs in PCOD patients.

Women with OHSS have a large number of growing follicles along with high estradiol levels. This leads to fluid leaking into the abdomen (belly), which can cause bloating, nausea, and swelling of the abdomen. When OHSS is severe, blood clots, shortness of breath, abdominal pain, dehydration, and vomiting are possible. Rare deaths are reported.

Symptoms of OHSS

  • Fluid build-up in the abdomen.
  • Tightness or enlarged abdomen.
  • Abdominal swelling.
  • Discomfort and nausea.
  • Extreme thirst and dehydration.
  • Patient passes small amounts of urine.
  • Experience difficulty in breathing.

Treatment of OHSS

Patient will admitted by doctor in severe OHSS. Doctor prescribes IV fluid, tablet cabergolin to lessen the symptoms of OHSS and also start antagonist injections. Patient should also take plenty of fluids. Patient should avoid physical activity which can cause ovarian injury. Aspiration of accumulated fluid from the abdominal/pleural cavity may be necessary if it becomes serious. Patient foot must be on upper side this can help patient body get rid of the extra fluid. Usually, symptoms will decrease and go away once you get  period.

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