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Ovarian hyperstimulation syndrome ( OHSS ) is a disease in which the ovaries are overly stimulated by fertility treatment , ovulation inducer , etc . Thus , many follicle develop and ovulate at once , cause various symptoms .
In the case of ovarian hyperstimulation syndrome have by an ovulation - bring on agentive role , discontinue the giving medication of the drug during treatment can prevent the disease from becoming more terrible .
However , tutelage must be pack when a pregnancy is found , because the stimulation of hCG ( human chorionic gonadotropin ) , which is made by the placental villi that associate the mother and the fetus , can precede to severe illness.(1 )
What Is The Best Treatment For Ovarian Hyperstimulation Syndrome?
There are various intervention for ovarian hyperstimulation syndrome depending on the symptom . The usual treatment procedure is as follows :
Reduction Or Stopping Of Ovulation Inducer : Use of GnRH agonist instead of hCG preparations , or reduce or lay off the dose of hCG preparations to prevent the disease from becoming more terrible .
apply extract : If you have thrombosis , the doctor may hint an extract to make the concentrated blood rejoinder to normal .
establishment Of Albumin : If stomach swelling due toascitesordyspneathrough pleural gush is watch over , it is necessary to parcel out albumin and transfer pleural effusion and ascites into roue vessels . In some case , a hole may be punctured in the body to enfeeble the accumulated liquid .
Administration Of Low - Dose Dopamine : If water measure is not adequate , humiliated dose Intropin is parcel out ceaselessly to ensure proper urine outturn and forbid discriminating renal unsuccessful person .
Open Or Laparoscopic Surgery : If the ovary has twisted the bow , it is important to perform emergency operating theater to cure the twist . Depending on the condition , the ovaries and fallopian tubes may need to be removed.(3)(4 )
Future Measures For Ovarian Hyperstimulation Syndrome
For citizenry who frequently suffer from mild or hard ovarian hyperstimulation syndrome symptoms , the discussion of immature egg cell by in vitro fertilisation ( IVM - IVF ) may be effective in the future tense .
This handling provides short ovarian arousal from the start of the cps . Then , during the outgrowth of follicle growth , bollock are collected and mature outside the body .
The most authoritative thing is to forestall the ontogenesis of ovarian hyperstimulation syndrome . antecedently , the incidence of ovarian hyperstimulation syndrome was surprisingly mellow at 3.1 % ( 0 serious cases ) with clomiphene therapy ( oral ovulation evocation ) and 59.2 % with gonadotropic hormone therapy ( injectant of hMG - hCG ) . For the gonadotropin therapy , there are 14.4 % of severe grammatical case .
These statistics prompted the adoption of various treatments to quash ovarian hyperstimulation syndrome . For example , it has been reported that the use of pure FSH significantly reduces the incidence of ovarian hyperstimulation syndrome .
Not only careful reflection by the ultrasonic diagnosis but also a measurement of blood estradiol , dosage and enjoyment of drugs , etc . , should be channel on a regular basis to preclude ovarian hyperstimulation syndrome . raw in force means and treatment method acting are continuously develop , and physician skill are also improving to deal and bias the onset of ovarian hyperstimulation syndrome.(5 )
Probability Of Ovarian Hyperstimulation Syndrome
Ovarian hyperstimulation syndrome come about in 20 to 30 % of cases in which ovulation is induced with hCG preparation . The absolute frequency of austere cases is not so gamy , with 0.8 to 1.5 % per ovulation hertz in multitude whose symptom have become worse enough to require hospitalization .
However , it should be sympathize that infertility treatment using ovulation persuader is one of the side effect that require attention at the onset.(2 )
Who Is Prone To Ovarian Hyperstimulation Syndrome?
Women who mainly meet the follow precondition are at increase peril for ovarian hyperstimulation syndrome .
Various method acting of inducing ovulation are used in infertility treatment , but gonadotropin therapy ( hMG - hCG therapy ) is particularly good . But it tends to develop ovarian hyperstimulation syndrome.(2 )
Can You Get Pregnant Even With Ovarian Hyperstimulation Syndrome?
If you have ovarian hyperstimulation syndrome , you may still get pregnant . However , there are pillow slip where the disease has become more wicked , so it is necessary to consult your doctor and treat ovarian hyperstimulation syndrome at the earliest .
In mild sheath , it is advisable to drink plenty of water and avoid vivid exercise or intimate intercourse .
If you are using an ovulation inducer for impregnation during in vitro impregnation and you are diagnosed with ovarian hyperstimulation syndrome , you may call for to reconsider how to excite the ovary . If the onset is found after ballock collection , cancel the embryo transportation and freeze the embryo.(6 )
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