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Infertility Support and Discussion
Reply to "Fresh transfer versus waiting a month"
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[quote=Anonymous]^ I am above poster, forgot to answer your questions about how to detect OHSS. OHSS occurs when there is a hyperstimulation to ovulatory drugs resulting in a large number of follicles, and a large number of eggs. As another PP mentioned, 0HSS is a greater possible risk if you have PCOS; women in their teens or 20s and/or who have slim build/lower weight are also more likely to develop OHSS. However, it certainly happens to people who do not fit in to any of those categories but still have a overstimulation from meds. OHSS does not set in until after ovulation (after trigger), but there are sometimes warning signs in the days leading up to retrieval. These would include identifying a large number of follicles (which could result in a large number of eggs) and having a jump in hormone levels right before, during, and or after ovulation (trigger shot in a cycle). Your doctor will keep up your blood monitoring during this time. If you have a large number of eggs retrieved (my doctor said anything over 20 made him look closely for OHSS) and OHSS becomes a possibility, there are a few proactive things you can do to lessen the symptoms (which are severe bloating and water weight gain which can cause breathing issues amongst other things). These include taking in a large amount of liquids (water or Gatorade, doctors vary which is better), eating lots of salty foods, and doubling protein intake. These measures combined can help the empty follicles, once the egg is retrieved, to dissolve, versus fill painfully with fluids which happens with the syndrome. Extreme cases involve hospitalization, and drainage of the third space in the abdomen. I know a couple of women who were hospitalized with severe cases and it is extremely unpleasant. One was in the hospital for nearly a month, but she had the most extreme case the hospital had seen. There isn’t a cure besides time, drainage, and monitoring unfortunately. The risk with going through with a transfer is if you wind up pregnant, and have the syndrome, it makes the symptoms doubly worse, and much more dangerous. I’m sure others will chime in with more information or any corrections! [/quote]
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