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Ovarian hyperstimulation syndrome - Treatment

Alternative Names

OHSS

Treatment:

Mild cases of OHSS usually don't need to be treated. You can ease your discomfort by doing the following:

  • Get plenty of rest with your legs raised. This helps your body release the fluid. However, light activity every now and then is better than complete bed rest, unless your doctor tells you otherwise.
  • Drink at least 10 - 12 glasses of fluid a day (especially drinks that contain electrolytes).
  • Avoid alcohol or caffeinated beverages (such as colas or coffee).
  • Avoid intense exercise and sexual intercourse, which can cause ovarian discomfort and may cause ovarian cysts to rupture or leak or cause the ovaries to twist and cut off blood flow (ovarian torsion).
  • Take an over-the-counter pain reliever such as acetaminophen (Tylenol).

You should weigh yourself each day to make sure you are not putting on too much weight (5 or more pounds a day).

In the rare case that you develop severe OHSS, you will probably need to go to a hospital. The health care providers there will give you fluids through a vein (intravenous fluids), remove fluids that have collected in your body, and monitor your condition.

Expectations (prognosis):

Most mild cases of OHSS will go away on their own after menstruation starts. If you have a more severe case, it can take several days for symptoms to improve.

If you become pregnant during OHSS, the symptoms may get worse and can take weeks to go away.

Complications:

In rare cases, OHSS can lead to life-threatening complications, including:

  • Blood clots
  • Kidney failure
  • Severe electrolyte imbalance
  • Severe fluid build-up in the abdomen or chest

Calling your health care provider:

Call your healthcare provider if you experience any of the following symptoms:

  • Excessive weight gain (more than 5 pounds a day)
  • Severe abdominal pain
  • Nausea so intense that you can't keep food or liquids down
  • Decreased urination
  • Shortness of breath
  • Dizziness
  • Reviewed last on: 7/27/2009
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Lobo RA. Infertility: etiology, diagnostic evaluation, management, prognosis. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 41.

Speroff L, Fritz MA. Induction of ovulation. Speroff L, Fritz MA, eds. Clinical Gynecologic Endocrinology and Infertility. 7th ed. Philadelphia, Pa: Lippincott Williams and Wilkins; 2005:chap 31.

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