Relationship between human chorionic gonadotropin serum levels and the risk of ovarian hyperstimulation syndrome.
The object of this retrospective cohort study was to determine if hCG levels correlate with ovarian hyperstimulation syndrome (OHSS) risk after adjustment for other risk factors during in vitro fertilization (IVF). We measured serum hCG approximately 12 h after hCG trigger in women undergoing 406 cycles of controlled ovarian hyperstimulation for IVF between June 2006 and December 2009. Serum hCG levels were measured 12 h after trigger. Bivariate logistic regression was used to assess the association between patient and cycle characteristics and OHSS. In our series, mild to moderate OHSS occurred in 9% (38/406), and severe OHSS diagnosed in 1.5% (6/406) of IVF cycles. OHSS risk was increased in younger women (<30 years old: adjusted odds ratio: aOR 2.46, 95% confidence interval: CI 1.14-5.34), increased number of oocytes (11-20: aOR 6.79, 95% CI 1.97-23.40; >20: aOR 17.55, 95% CI 4.84-63.70), and increase E2 levels (≥3,000 pg/mL: aOR 2.59, 95% CI 1.33-5.05), but was unrelated to hCG level (100-200 IU/L: aOR 1.53, 95% CI 0.60-3.91; ≥200 IU/L: aOR 1.42 95% CI 0.48-4.20). These results indicate that OHSS risk during IVF is unrelated to serum hCG level measured approximately 12 h after trigger.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University Hospitals Case Medical Center , Cleveland, OH , USA and.
Matrika D
MD
Johnson
Sanithia L
SL
Williams
Christopher K
CK
Seager
James H
JH
Liu
Nichole M
NM
Barker
William W
WW
Hurd
D000328:Adult; D006063:Chorionic Gonadotropin / Q000008:administration & dosage / Q000097:blood*; D015331:Cohort Studies; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000097:blood* / Q000000981:diagnostic imaging; D010062:Ovulation Induction / Q000009:adverse effects / Q000379:methods*; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D014463:Ultrasonography
D006063:Chorionic Gonadotropin