If symptoms are present, a transvaginal or abdominal ultrasound can be done to measure ovary size and the amount of fluid collected. OHSS can be serious, so careful monitoring and managing the symptoms are important whenever it occurs. Office visits for ultrasound exams to measure the ovaries and fluid in the abdomen, and blood tests, are routinely done. Decreased activity and drinking lots of electrolyte-rich fluids over ounces per day are recommended. Medicines for nausea are available. If there is fluid in the abdomen, drainage of fluid using a syringe paracentesis can provide significant relief in most cases.
On occasion, more than one drainage is helpful. A medicine called cabergoline also can reduce the fluid accumulation. There is rarely a need for hospitalization. If OHSS does not improve with outpatient care, the woman may be treated in the hospital with close monitoring. This usually goes away after about a week. But, if pregnancy occurs, symptoms of OHSS may worsen and last several days to weeks. If you're having fertility treatments and you experience symptoms of ovarian hyperstimulation syndrome, tell your health care provider.
Even if you have a mild case of OHSS , your provider will want to observe you for sudden weight gain or worsening symptoms. Contact your provider right away if you develop breathing problems or pain in your legs during your fertility treatment. This may indicate an urgent situation that needs prompt medical attention.
The cause of ovarian hyperstimulation syndrome isn't fully understood. Having a high level of human chorionic gonadotropin HCG — a hormone usually produced during pregnancy — introduced into your system plays a role.
Ovarian blood vessels react abnormally to HCG and begin to leak fluid. This fluid swells the ovaries, and sometimes large amounts move into the abdomen. During fertility treatments, HCG may be given as a "trigger" so that a mature follicle will release its egg.
If you become pregnant during a treatment cycle, OHSS may worsen as your body begins producing its own HCG in response to the pregnancy. Injectable fertility medications are more likely to cause OHSS than is treatment with clomiphene, a medication given as a pill you take by mouth. Occasionally OHSS occurs spontaneously, not related to fertility treatments.
Sometimes, OHSS happens in women with no risk factors at all. Book a consultation. Patient Login. Book a Consultation. Call Us. IVF Fertility Clinic. Written by Vicken Sahakian. What is ovarian hyperstimulation syndrome OHSS? What are the symptoms associated with OHSS? Mild symptoms of OHSS during IVF When a woman suffers from a mild case of OHSS, the common symptoms include: Mild or moderate abdominal pain Tenderness around the pelvis and ovary area Bloating Nausea Vomiting Diarrhea Sudden weight gain exceeding 6 pounds Mild OHSS will typically wear off after a week of being administered fertility drugs, but patients should immediately inform their doctor if they experience any of the above symptoms.
These adjustments include: Altering or adjusting medications and fertility drugs used during IVF. Waiting a few days before administering hCG as estrogen levels are high or many developed follicles coasting.
Freezing good- to high-quality eggs or embryos to reduce the need for another IVF cycle. You will probably be advised to attend your local emergency department. We will be able to keep in touch with the doctors looking after you to help with your care if we know that you have been admitted, and where. Keyword search. Ovarian Hyperstimulation Syndrome OHSS This page explains what ovarian hyperstimulation syndrome OHSS is, why it is important to understand if you are having fertility treatment, and how to get help if needed.
What is OHSS? The main symptoms are: Swelling and discomfort in the tummy due to enlarged ovaries and retained fluid. Sickness and loss of appetite. Why is OHSS important to identify and treat?
How common is it? What causes OHSS? How is OHSS treated?
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