Prevention of ovarian hyperstimulation syndrome

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The patient undergoing fertility treatment is periodically and thoroughly supervised by her doctor, through blood tests and pelvic ultrasounds.

Below you have an index with all the points that we will discuss in this article.

Index

Prevention of ovarian hyperstimulation syndrome

Usually from the second or third day of administration of hormones visits to the gynecologist are made almost daily and, depending on the response of the ovary, the dose is adjusted so that uncontrolled ovarian hyperstimulation does not occur.

If the estrogen level of the woman in treatment rises too much or very quickly while the injections are being applied, the risk of developing the ovarian hyperstimulation syndrome increases. In this case you may need to take a lower dose of the medications or temporarily suspend the treatment.

Prevent Ovarian Hyperstimulation Syndrome

Prevention measures

There is no completely effective action to prevent ovarian hyperstimulation syndrome, although the preventions that are made can be summarized in the following points:

  • The profile of the patient: pay special attention to women under 30-35 years old, women with a history of OHSS and women with polycystic ovarian syndrome.
  • If there is a high risk of OHSS, stimulation should be stopped or the injection of hCG should be delayed.
  • Administration of hCG: the dose of hCG to be administered or not to use hCG can be decreased to produce ovulation. In the latter case, recombinant LH or GnRh analogs could be used if they have not been used for ovulation stimulation.
  • Follicular aspiration and aspiration: decreases the severity of OHSS.
  • In the support of the luteal phase, hCG should be avoided. Natural micronized progesterone can be used.
  • The prescription of albumin.
SHO

Cancel the cycle

If, after taking the necessary precautions, the risk of suffering ovarian hyperstimulation syndrome (OHSS) does not decrease, it is necessary to resort to the cancellation of the cycle of artificial insemination, in vitro fertilization or ICSI.



Transfer in another cycle

Another option is to perform the embryo transfer after a time has passed and the SHO has completely disappeared. For this, it is necessary to resort to the cryopreservation of embryos.

Authors and collaborators

Neus Ferrando Embryologist specialist in Reproductive Medicine Degree in Biology from the University of Valencia (UV). Postgraduate in Biotechnology of Human Reproduction Assisted by the Miguel Hernández University of Elche (UHM) with experience as head of the Embryology and Andrology laboratory at the Manzanera Medical Center. More informationEmbrióloga specialist in Reproductive Medicine. Degree in Biology from the University of Valencia (UV). Postgraduate in Biotechnology of Human Reproduction Assisted by the Miguel Hernández University of Elche (UHM) with experience as head of the Embryology and Andrology laboratory at the Manzanera Medical Center .. author_box {background-color: #ececec; padding: 20px 30px; font -size: 14px;} .author_name {font-size: 16px; font-weight: bold; margin-bottom: 10px;} .author_title {margin-bottom: 10px; font-weight: bold;} .author_text {margin-bottom: 10px;} .author_box_izq {display: inline-block; vertical-align: top; width: 15%;} .author_box_dcha {display: inline-block; vertical-align: top; width: 85%;}. Author_box_dcha_sep {margin: 0 0 10px 30px} .autor_box: not (: last-child) {margin-bottom: 20px} @media screen and (max-width: 470px) {.autor_box {font-size: 16px; padding: 20px;} .author_name {font-size: 18px;} .autor_box_izq {width: 20%;} .autor_box_dcha { width: 80%;} .autor_box_dcha_sep {margin: 0 0 10px 20px}}

Comments

  1. UnknownOctober 21, 2018 at 11:43 PM

    Well this blog was good. Would like to share some of my insights about OHSS.

    Worried about developing Ovarian Hyper Stimulation Syndrome (OHSS) during your IVF treatment? Visit, IVF Spring, Mumbai, a leading fertility clinic in India, and worry no more. We understand how OHSS is caused, and the risks it poses when the condition progresses. Our specialists work together to determine which patients have chances of developing Ovarian Hyper Stimulation Syndrome, and customize our fertility treatments to ensure that the risk factors are averted. For women with low body weight, Polycystic Ovary Syndrome (PCOS), high follicle count, and others who are at risk for OHSS, we use Mild Stimulation IVF or Natural Cycle IVF, which administer lesser to no medications, so that the body does not react badly to the treatment and develop OHSS. Our success rates are among the highest in the country, with no history of Ovarian Hyper Stimulation Syndrome in any of our treatments. We believe in giving our patients the highest standard of service, and personalized case, ensuring that two way communication takes place throughout the process, and no patient goes into the treatment feeling doubtful. At IVF Spring, Mumbai, we aspire for all our patients to experience the joy of parenthood.

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