When OHSS is severe, blood clots, shortness of breath, abdominal pain, dehydration, and vomiting are possible. Rare deaths are reported. OHSS can be classified as mild, moderate, or severe. These symptoms may include mild abdominal bloating, nausea, and weight gain due to fluid. Women with moderate OHSS typically have more of these same symptoms.
Women with severe OHSS usually have vomiting and cannot keep down liquids. They experience significant discomfort from swelling of the abdomen. They can develop shortness of breath, and blood clots can form in the legs.
In all cases of OHSS, the ovaries are enlarged. The size of the ovary is a marker of the degree of OHSS. 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. Email address:. Our journeys were fraught with confusion, struggles, heartbreak, misdiagnoses, lack of knowledge and support.
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Facebook Twitter Email WhatsApp. Add comment. Who can you turn to for help? So just what is OHSS? Who is most at risk? The risk of OHSS is increased in women who: have polycystic ovaries have had OHSS previously get pregnant, particularly if this is a multiple pregnancy twins or more What are the symptoms? Symptoms of OHSS depend on the level of severity — it can be mild, moderate or severe. Extreme thirst and dehydration Breathing may be difficult because of build-up of fluid in the chest Rapid weight gain — it could be five pounds in a day or ten pounds in three days or more Severe abdominal pain Severe, persistent nausea and vomiting Decreased urination Urine is dark Tummy is tight or enlarged Dizziness Treatment No treatment can stop OHSS, but treatment can help ease symptoms and prevent problems.
How can you avoid OHSS? Alternative trigger shots OHSS tends to happen after the trigger shot. Is your clinic your best choice? View all posts. Fertility Help Depends on Location.
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Subscribe to our newsletter Subscribe to receive the latest fertility news from around the world, shared stories, expert guidance and much more and all to your inbox. Follow us instagram facebook twitter youtube. Most popular. Better success rates occur if the embryo transfer is delayed until the ovary is no longer stimulated. This improved treatment is achieved by highly-efficient freezing of blastocysts. The embryos are thawed in a subsequent cycle when the ovary is no longer enlarged.
Another innovation that has markedly limited the occurrence of OHSS is the decrease in dosage of human chorionic gonadotropin hCG used to trigger ovulation. The addition of Lupron surge has achieved similar egg maturity, while markedly diminishing ovarian hyperstimulation. If you gain more than 2 pounds per day, your urinary frequency is decreasing, or you have severe pain, you should contact your fertility doctor. Lawrence Grun feld is a board-certified Reproductive Endocrinologist.
Mild OHSS symptoms, such as fluid retention and ovarian discomfort, can be managed by: Drinking fluids. Electrolyte-supplemented drinks, such as sports beverages, are suggested. Avoid alcohol and caffeinated beverages. Drink enough fluids so that your urine is pale yellow.
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