دورية أكاديمية
Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze-all strategy: A case report and review of the literature
| العنوان: | Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze-all strategy: A case report and review of the literature |
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| المؤلفون: | Dalia Khalife, Suleiman Ghunaim, Lina El Taha, Omar Odeh, Natasha Habr, Johnny Awwad |
| المصدر: | Asian Pacific Journal of Reproduction, Vol 11, Iss 6, Pp 292-298 (2022) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | ovarian hyperstimulation syndrome, gonadotropin releasing hormone agonist, in vitro fertilization, human chorionic gonadotropin support, ovulation induction, reproductive endocrinology, Medicine |
| الوصف: | Rationale: The current literature has a surprising controversy regarding the use of low-dose human chorionic gonadotropin (hCG) for luteal support as an explanation for the development of ovarian hyperstimulation syndrome, and this is because of the gap in the listing of the predisposing factors that put women at an increased risk of ovarian hyperstimulation syndrome. Patient concerns: A case of 25-year-old woman presented with abdominal pain, distention, dyspnea, and nausea with a 6.5 kg increase in weight from baseline. Ultrasonographic examination showed bilaterally enlarged multicystic ovaries after gonadotropin-releasing hormone (GnRH) agonist triggering and cycle segmentation with no hCG rescue administration. Diagnosis: Moderate/severe ovarian hyperstimulation syndrome. Interventions: The woman was admitted to the hospital for medical management of moderate/severe ovarian hyperstimulation syndrome, and pain management was advanced to patient-controlled anesthesia with the start of low molecular weight heparin. On day 2, albumin therapy followed by a furosemide chase was started due to an increase in abdominal girth. On day 1, Cabergoline was maintained, and on day 2 the GnRH antagonist Cetrorelix was started. Outcomes: The woman’s clinical condition improved, and a clinical pregnancy was eventually achieved during the first cryo-warmed blastocyst cycle. Lessons: Ovarian hyperstimulation syndrome can still happen even after the use of GnRH agonist and avoidance of hCG support. Segmentation of in vitro fertilization with complete avoidance of hCG for luteal support remains the best approach. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2305-0500 2305-0519 |
| Relation: | http://www.apjr.net/article.asp?issn=2305-0500;year=2022;volume=11;issue=6;spage=292;epage=298;aulast=; https://doaj.org/toc/2305-0500; https://doaj.org/toc/2305-0519 |
| DOI: | 10.4103/2305-0500.356846 |
| URL الوصول: | https://doaj.org/article/9a0f511b089243dea9192b6ecbecf425 |
| رقم الأكسشن: | edsdoj.9a0f511b089243dea9192b6ecbecf425 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23050500 23050519 |
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| DOI: | 10.4103/2305-0500.356846 |