Book contents
- Ovarian Stimulation
- Ovarian Stimulation
- Copyright page
- Dedication
- Contents
- Contributors
- About the Editors
- Foreword
- Preface to the first edition
- Preface to the second edition
- Section 1 Mild Forms of Ovarian Stimulation
- Section 2 Ovarian Hyperstimulation for IVF
- Section 3 Difficulties and Complications of Ovarian Stimulation and Implantation
- Chapter 12 Ovarian Stimulation in Difficult IVF Cases
- Chapter 13 Polycystic Ovary Syndrome: Ovulation Induction Strategies
- Chapter 14 Polycystic Ovary Syndrome: Controlled Ovarian Stimulation
- Chapter 15 Prevention of Ovarian Hyperstimulation Syndrome
- Chapter 16 Treatment of Ovarian Hyperstimulation Syndrome
- Chapter 17 How to Individualize Ovarian Stimulation Protocols to Avoid Difficulties and Complications
- Chapter 18 Endometrial Receptivity
- Chapter 19 Folliculogenesis and Implantation Failure
- Section 4 Non-conventional Forms Used during Ovarian Stimulation
- Section 5 Alternatives to Ovarian Hyperstimulation and Delayed Transfer
- Section 6 Procedures before, during, and after Ovarian Stimulation
- Index
- References
Chapter 16 - Treatment of Ovarian Hyperstimulation Syndrome
from Section 3 - Difficulties and Complications of Ovarian Stimulation and Implantation
Published online by Cambridge University Press: 14 April 2022
- Ovarian Stimulation
- Ovarian Stimulation
- Copyright page
- Dedication
- Contents
- Contributors
- About the Editors
- Foreword
- Preface to the first edition
- Preface to the second edition
- Section 1 Mild Forms of Ovarian Stimulation
- Section 2 Ovarian Hyperstimulation for IVF
- Section 3 Difficulties and Complications of Ovarian Stimulation and Implantation
- Chapter 12 Ovarian Stimulation in Difficult IVF Cases
- Chapter 13 Polycystic Ovary Syndrome: Ovulation Induction Strategies
- Chapter 14 Polycystic Ovary Syndrome: Controlled Ovarian Stimulation
- Chapter 15 Prevention of Ovarian Hyperstimulation Syndrome
- Chapter 16 Treatment of Ovarian Hyperstimulation Syndrome
- Chapter 17 How to Individualize Ovarian Stimulation Protocols to Avoid Difficulties and Complications
- Chapter 18 Endometrial Receptivity
- Chapter 19 Folliculogenesis and Implantation Failure
- Section 4 Non-conventional Forms Used during Ovarian Stimulation
- Section 5 Alternatives to Ovarian Hyperstimulation and Delayed Transfer
- Section 6 Procedures before, during, and after Ovarian Stimulation
- Index
- References
Summary
Although, ovarian hyperstimulation syndrome (OHSS) is the most serious iatrogenic complication of ovarian stimulation, the condition usually resolves within 14 days in women who are subjected to freeze-all embryos policy; meanwhile symptoms may extend through the first trimester in women who do become pregnant as endogenous human chorionic gonadotropin (hCG) levels continue to stimulate the ovaries. The exact pathophysiology and etiology of OHSS remains unknown, but increased capillary permeability with the resulting loss of fluid into the third space is common to the syndrome [1]. Administration of hCG for final follicle maturation and triggering of ovulation appears to be the pivotal stimulus in a susceptible patient, by releasing vasoactive–angiogenic substances such as vascular endothelial growth factor from the ovaries hyperstimulated with gonadotropins [2].
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- Ovarian Stimulation , pp. 158 - 165Publisher: Cambridge University PressPrint publication year: 2022