The timeline is individual, however, and some women may start symptoms later on down the line. Symptoms tend to range in their severity and may also change over time. Around 1 percent of women develop what is considered severe OHSS.
Issues like blood clots, trouble breathing, and severe pain may lead to more serious complications, like an ovarian cyst rupture with excessive bleeding.
Mild OHSS may go away on its own within a week or so. If you get pregnant that cycle, the symptoms may persist a bit longer — more like a few days to a few weeks. Treatment of mild OHSS is conservative and involves things like avoiding strenuous exercise and increasing fluid intake to address dehydration. You may want to take some acetaminophen for pain.
Most importantly, your doctor may ask you to weigh and otherwise monitor yourself daily to track any potential worsening of the condition. Severe OHSS, on the other hand, often requires a hospital stay — and can be very dangerous even fatal if left untreated. Your doctor may decide to admit you to the hospital if:. At the hospital, you may be given intravenous IV fluids to aid with hydration. In some cases, your doctor may want to alter your dose of fertility medication.
You may be placed on a blood thinner to prevent blood clots. Your doctor may also recommend paracentesis , which is a procedure that can remove excess fluid buildup in your abdomen. And there are certain medications you can take to calm down all that activity going on in your ovaries. While frustrating, your doctor may additionally recommend delaying your scheduled embryo transfer — essentially skipping your current treatment cycle. The good news is that you can freeze your embryos for transfer when you are symptom-free.
Related: The day guide to IVF success. Every case is unique, and your doctor will likely monitor you closely to decide how to proceed. Monitoring usually involves a mix of blood tests to check hormones and ultrasounds to check on all those developing follicles.
Related: Is ovarian tissue freezing better than egg freezing? The majority of OHSS cases are mild versus severe. If you do develop OHSS, keep a close eye on your symptoms. Fluid can be drained from the abdomen with a needle through the abdomen or vagina using ultrasound guidance.
If performed abdominally, a catheter can be left in place temporarily to allow continuous drainage so that a repeat procedure is not necessary. If needed, fluid may also be removed from the chest or other areas. Patients with severe OHSS are at risk for blood clots.
Patients are often placed on anticoagulation medication and receive IVF fluids as preventative measures. Some patients with particularly severe OHSS may need intensive monitoring in the hospital and if need be in an intensive care unit ICU.
Rare cases have been reported where the state of pregnancy caused such severe OHSS, that termination of pregnancy was performed as a life-saving intervention. A frozen embryo transfer can then be performed.
Research studies are suggesting the uterine lining may not be as receptive to an embryo successfully implanting when OHSS is present. We at Michigan Reproductive Medicine do our best to get all patients through their fertility treatments safely and successfully. Our goal is to avoid OHSS wherever possible and protect patients from hospitalizations, invasive procedures to drain OHSS-related fluid from the various areas the body and from thromboembolic disease- blood clots forming in blood vessels.
With care, common sense and education, the life threatening condition of OHSS can be avoided. As an infertility specialist, Mike and his team at Michigan Reproductive Medicine help women and men fulfill their dreams of having children and receive each and every couple, woman or man with open arms. They are committed to providing comfort and attention, education, infertility treatments and fertility preservation in a loving and caring environment.
Learn more about Mike or schedule a time to talk. What are conditions that raise the risk for a woman developing OHSS? Although very uncommon, severe OHSS symptoms can be treated through hospitalization for intravenous fluid hydration or, in rare circumstances, inserting a needle in the abdomen to remove excess fluid.
Since symptoms are usually resolved within two weeks, if you do not achieve pregnancy through fertility treatment, the doctor may advise that all embryos be frozen so they can be transferred after recovery. If severe OHSS occurs after conceiving, it can last up to the tenth week of pregnancy and then resolve.
Typically, OHSS symptoms are minor, with mild to moderate pain, loss of appetite and feeling bloated. Careful monitoring, decreased activity, pain medicine and drinking lots of water are recommended for patients diagnosed with OHSS. In infrequent cases where OHSS does not improve with outpatient care, treatment may involve occasional hospitalization for intravenous fluid hydration or, in rare circumstances, inserting a needle in the abdomen to remove excess fluid.
What is ovarian hyperstimulation syndrome? Symptoms of ovarian hyperstimulation syndrome Typically, OHSS symptoms are minor, with mild to moderate pain, loss of appetite, nausea, diarrhea and feeling bloated.
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