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Ovarian hyperstimulation syndrome

What is OHSS? 

OHSS stands for ovarian hyperstimulation syndrome. When women take fertility medications to promote egg growth, this medical condition can affect their ovaries. Most of the OHSS cases are minor and do not lead to severe illness. The symptoms of OHSS start showing up within 10 days of starting the fertility medication. This medical condition usually affects about 10 percent of those who undergo in vitro fertilization (IVF). The chances of being affected by this disease increase if you:

·         Are under the age of 35
·         Have PCOS (Polycystic Ovary Syndrome)
·         Have had the condition before

What is the cause of OHSS?

The exact cause of OHSS is not known but the presence of high levels of HCG (human chorionic gonadotropin) in your system plays a key role in its onset. HCG is a hormone that is produced in your body during pregnancy. Hence, if you will be having IVF, this means that you are pregnant. The blood vessels present in the ovary have an abnormal reaction to the production of HCG. They begin to leak the fluid and at times, the fluid enters the abdomen due to excessive leakage.

What are the OHSS symptoms?

There are various symptoms of OHSS which vary depending on the severity of the condition. They are as follows:

1)    Mild

Abdominal bloating
Slight weight gain

Ovaries are tender and larger in size
Presence of high levels of oestrogen in the bloodstream

Avoid sexual intercourse
Do not involve in straining exercises
Consume clear fluids such as coke, ginger ale, etc.

2)    Moderate

Excessive weight gain (more than 1 kg a day)
Skin or hair has a darker complexion
Urine is darker
Increase in abdominal measurement

Imbalance in fluid causes dehydration
Collection of fluid causes severe bloating
Increase in the level of hormones disrupts the functioning of the digestive system

Record your weight twice in a day
Consult your physician
Make a note of the number of times you urinate in a day

3)    Severe

Shortness of breath
Bloating up to the belly button
Calf pains
Chest pains
Pain in the lower abdomen
Reduction in urination

Very large ovaries
Chances of abnormal bloating increases
Collection of fluid in the lungs

Removal of excess fluid from the abdominal cavity
Visit the hospital

What are the precautions to be taken to avoid OHSS?

If you are at risk of developing Ovarian Hyperstimulation, your doctor will adopt a different treatment in order to prevent this condition. The doctor will also monitor you regularly with pelvic ultrasounds and various blood tests. This is mainly to ensure that your ovaries are not responding more than required for the treatment provided. The other medical procedures adopted by doctors to prevent this condition are- altering the medicine dosage and coasting. Coasting is the process of stopping gonadotropin injections for a short period before introducing HCG into a woman’s system. When you are at home, drink lots of water, take painkillers and move around regularly to avoid blood clots. If your condition worsens, consult your physician immediately.
Ovarian hyperstimulation syndrome Ovarian hyperstimulation syndrome Reviewed by Jhon on 1:06 PM Rating: 5