Transcription of The Management of Ovarian Hyperstimulation Syndrome
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The Management of Ovarian Hyperstimulation Syndrome
The Management of Ovarian Hyperstimulation SyndromeGreen-top Guideline No. 5 February 2016 The Management of Ovarian Hyperstimulation SyndromeThis is the third edition of this guideline, previously published in 2006 with the same summary of recommendationsIncidence of Ovarian Hyperstimulation Syndrome (OHSS)What is the reported incidence of OHSS? Clinicians must remain alert to the possibility of OHSS in all women undergoing fertility treatment andwomen should be counselled accordingly. [New 2016]Diagnosis of OHSSHow is OHSS diagnosed and what differential diagnoses should be considered?Clinicians need to be aware of the symptoms and signs of OHSS, as the diagnosis is based on women presenting with severe abdominal pain or pyrexia, extra care should be taken to rule outother causes of the patient s symptoms. The input of clinicians experienced in the Management ofOHSS should be obtained in such cases.
commonly, pleural and pericardial effusions. Women with severe OHSS demonstrate hypovolaemia, with a typical loss of 20% of their calculated blood volume in the acute phase of OHSS.5Accompanying this hypovolaemia is reduced serum osmolality and sodium. This paradoxical combination of hypovolaemia
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