Ovarian hyperstimulation syndrome

Background

  • Fertility treatments causing development of multiple follicles at once
  • Fluid shifts out of vasculature

Clinical Features

Differential Diagnosis

Workup

  • Urine pregnancy
  • Pelvic ultrasound
  • CBC
  • Chem 10
  • CXR
  • Progesterone level
  • Estradiol level
  • PT/PTT
  • Fibrinogen

Management

Disposition

  • May require ICU admission for third spacing
  • Admit all but most mild cases to monitored setting

See Also

Sources

Up to Date William's Gynecology