Ovarian Hyperstimulation Syndrome

Posted by e-Medical PPT Tuesday, July 20, 2010
Ovarian Hyperstimulation Syndrome (OHSS) is A SERIOUS IATROGENIC COMPLICATION of ovulation induction with a severe impact on the patients health(morbidity and mortality).
Symptoms are classified into 3 categories: mild, moderate, and severe. Mild symptoms include abdominal bloating and feeling of fullness, nausea, diarrhea, and slight weight gain. Moderate symptoms include excessive weight gain, increased abdominal girth, vomiting, diarrhea, darker urine and less in amount, excessive thirst, and skin and/or hair feeling dry. in severe forms of OHSS there may be hemoconcentration, thrombosis, abdominal pain and distension, oliguria (decreased urine production), pleural effusion, and respiratory distress.
Ovarian Hyperstimulation Syndrome may be complicated with ovarian torsion, ovarian rupture, thrombophlebitis and renal insufficiency. Symptoms generally subside in 1 to 2 weeks, but will be more severe and persist longer if pregnancy occurs. This is due to hCG from the pregnancy acting on the corpus luteum in the ovaries in sustaining the pregnancy before the placenta has fully developed. Typically, even in severe OHSS with a developing pregnancy, the duration does not exceed the first trimester.

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