Hormone medications used in IVF treatment provide controlled stimulation of the ovaries. However, in some cases this control can be lost, and OHSS (Ovarian Hyperstimulation Syndrome) This results in a table called [name of table].
What is OHSS and how does it occur?
OHSS is a condition caused by overstimulation of the ovaries, which can lead to serious fluid imbalances in the body.
The risk is higher, especially in women with polycystic ovary syndrome (PCOS).
When a large number of follicles develop, hormone levels rise abnormally.
This increases vascular permeability, causing fluid in the blood to leak out of the vessels.
In conclusion:
Fluid may accumulate in the abdominal cavity, lungs, or pericardium.
The blood thickens and the risk of clotting increases.
Organ failure may develop, particularly in the kidneys.
👉 Severe OHSS is a must hospitalization, even intensive care support It may be required.
OHSS Symptoms
Abdominal swelling and pain
Rapid weight gain
Shortness of breath
Nausea, vomiting
Decrease in urine volume
👉 If you experience these symptoms, you should consult a doctor immediately.
Can OHSS be prevented?
Yes. Preventing OHSS is much easier than treating it.
Possible measures to take:
Starting treatment with the right protocol selection and a low initial dose.
Using GnRH agonists instead of hCG as an ovulation induction injection.
Regular follow-up and intravenous fluid support after egg retrieval (OPU).
Continuing antagonist injections for a few more days after OPU.
If necessary, use medications that suppress prolactin production and blood thinners.
Embryo Transfer in Patients at Risk of OHSS
In women at risk of OHSS Fresh embryo transfer should not be performed. Because the situation could worsen if pregnancy occurs. Instead:
Embryos should be frozen.,
After the woman recovers, at the appropriate time. frozen embryo transfer It should be done.
✨ Conclusion:
OHSS is a rare but serious complication in in-vitro fertilization (IVF) treatment. Early intervention and correct treatment protocols can significantly reduce this risk.
