Ovarian hyperstimulation syndrome.
A case of severe ovarian hyperstimulation syndrome (OHSS) prompted us to review our experience of the condition, and to critically evaluate its clinical associations and treatment. Severe OHSS complicated 1.8% of gamete intra-Fallopian transfer (GIFT) cycles, but none of the ovulation induction and artificial insemination by husband (OI/AIH) cycles. It is difficult to establish whether the higher pregnancy rate observed with OHSS was attributable to pregnancy increasing the risk of OHSS, or if it was the development of OHSS which increased the likelihood of pregnancy. Monitoring serum oestradiol levels and ultrasonographic evaluation of growing follicles may be helpful in identifying women at risk. Strategies for reducing the risk of developing severe OHSS were considered.
Tassone
M
M
Reproductive Medicine Clinic, Mercy Hospital for Women, East Melbourne, Victoria.
Kuhn
R
R
Talbot
J M
JM
D000328:Adult; D004958:Estradiol / Q000097:blood; D005260:Female; D005313:Fetal Death / Q000209:etiology; D015181:Gamete Intrafallopian Transfer / Q000009:adverse effects*; D006801:Humans; D006080:Ovarian Follicle / Q000000981:diagnostic imaging; D016471:Ovarian Hyperstimulation Syndrome / Q000097:blood / Q000209:etiology*; D011247:Pregnancy; D012307:Risk Factors; D014463:Ultrasonography
D004958:Estradiol