Complication
in infertility treatment?
If you are
undergoing an infertility treatment and have found significant increase in your
weight in duration of two-three days or have difficulty in breathing or
urinating then it might be possible that you are suffering from OHSS. Ovarian
Hyperstimulation Syndrome (OHSS) is one of the most common complications of
infertility treatment. Renowned IVF expert& Gynecologist- Dr Manoj
Chellani, Director, Aayush ICSI Test Tube Baby Center helps you to understand the details which can assist if you facing such
problem and the preventive measures which you should take.
Dr Manoj Chellani says “This syndrome usually occurs in women undergoing IVF, although it may rarely be seen in women taking injectable medications
for an IUI cycle as well. OHSS most frequently occurs 5 to 10
days after the injection of HCG to prepare you for egg retrieval, though some women may experience
symptoms a little earlier. Women with OHSS have an increase in fluid leaking
from the blood capillaries causing symptoms that range from bloating to nausea
to swelling of the abdomen. On rare occasions, women have to be hospitalized
when symptoms are more severe.
Symtoms
·
Weight
gain (more than 5 pounds in 2 to 3 days)
·
Persistent
nausea and/or vomiting
·
Abdominal
pain
·
Abdominal
distension or swelling
·
Difficulty
breathing or urinating
Classifying
the severity of symptoms
Depending on the symtoms & the
laboratory findings OHSS can be classified as mild, moderate or severe. One out
of three women have some symptoms of mild OHSS when they have controlled
ovarian stimulation during IVF cycles. These symptoms include abdominal bloating
and nausea and weight gain due to fluid retention (when fluid is not removed
from the body tissues). These same symptoms are worse in women with moderate
OHSS. Women with severe OHSS usually have vomiting and cannot keep down
liquids. They have an increase in discomfort from distention (swelling) of the
abdomen (belly). In the worst cases, they can develop shortness of breath.
Ovary size is also used as a marker of OHSS. If you have symptoms, a
transvaginal ultrasound can be done to measure ovary size.
Treatment
Dr Manoj Chellani explains that mild
to moderate OHSS is treatable. Usually the amount of fluids you are taking in
and how much urine you are putting out is monitored and medicines for nausea
works. Severe OHSS is treated in the hospital. At the hospital, the doctor will
give you an IV (intravenous hydration), medicines for nausea, watch you closely
and may remove fluid from your abdomen. Other supportive therapy may be given
as needed.
Preventive measures
Along with
consulting the expert you can also takes some preventive measures. In case of
mild OHSS avoid
sexual intercourse,do not have a vaginal (pelvic) exam by expert physicians,reduce
activities, no heavy lifting, straining or exercise and drink clear fluids,
flat coke, ginger ale, cranberry juice, Gatorade .For moderate OHSS do not
forget to record your weight twice daily and the number of times you urinate
each day. Also get an ultrasound done by some expert physician.
“The best treatment
for OHSS is prevention. Begin weighing yourself each morning when you begin
treatment. If you notice any unusual weight gain or any of the other above
symptoms, notify your physician immediately. In most cases, if OHSS is
diagnosed quickly, progression to the severe form can be prevented” adds Dr Manoj
Chellani.
After ovum pick up and embryo transfer, if you
experience discomfort, pain in abdomen, retention of urine then inform your gynecologist
immediately.OHSS can be prevented by given ovulation, inducing
drugs in appropriate doses. Higher doses causes OHSS, regular follicular
monitory should be done.Antagonist protocol reduces chances of OHSS.
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