Current possibilities in the prevention and therapy of ovarian hyperstimulation syndrome
Authors:
Hubka P. 1,2; Višňová H. 2; Sehnal B. 1; Lincová M. 1; Zikán M. 1
Authors‘ workplace:
Gynekologicko-porodnická klinika 1. LF UK a Nemocnice Na Bulovce, Praha
1; IVF Cube SE, Praha
2
Published in:
Ceska Gynekol 2021; 86(2): 124-127
Category:
doi:
https://doi.org/10.48095/cccg2021124
Overview
Objective: To present current possibilities of the prevention and therapy of ovarian hyperstimulation syndrome (OHSS). Methods: Literature and guidelines were researched. Results: From the view of safety and prevention of OHSS, antagonistic protocol is suitable. Patients with syndrome of polycystic ovaries benefit from the use of metformin or letrozole that can be sufficient to induce ovulation. As a treatment of imminent OHSS, it is recommended to administer 0.5 mg of cabergoline per os daily as well as low molecular weight heparin subcutaneously in prophylactic dose and to maintain sufficient fluid intake. Diuretics are strongly discouraged to use. To maintain intravascular volume, drained ascites can be reintroduced. Conclusion: We present a review of current literature and recommendations.
Keywords:
assisted reproduction – In vitro fertilization – ovarian hyperstimulation syndrome – prevention – therapy
Sources
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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2021 Issue 2
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