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Ovarian Hyperstimulation Syndrome

 Syn. OHSS , Ovarian Hyperstimulation Syndromes

Signs & Symptoms

 Abdominal discomfort #Mild
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Abdominal distension #Mild
Note: due to ovarian enlargement, accumulation of abdominal fluid
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Increased vascular permeability
Note: due to fluid accumulation in the abdomen
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Enlarged ovaries #Mild
Note: cause abdominal discomfort
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]

Physical Examination

 Bilateral ovarian enlargement #Mild
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Hypovolemia #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Low blood venous pressure #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]

Lab / Serology

 Elevated white blood cell concentration #Moderate
Note: Moderate >15,000, Severe >25,000/microL
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Hypoproteinemia #Moderate
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Progressive leukocytosis #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]

Imagin Study

 Ascites #Moderate
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Pleural effusion #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]

Complication

 Complication Ovarian torsion
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Syncope #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]
Complication Thromboembolism #Severe
Ref: Uptodate [ Pathogenesis, clinical manifestations, and diagnosis of ovarian hyperstimulation syndrome]

Risk Factors

Cause

Other