Prevention of Ovarian Hyperstimulation Syndrome: A Review
The following review aims to examine the available evidence to guide best practice in preventing ovarian hyperstimulation syndrome (OHSS). As it stands, there is no single method to completely prevent OHSS. There seems to be a benefit, however, in categorizing women based on their risk of OHSS and i...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2015/514159 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849468764906586112 |
|---|---|
| author | Vinayak Smith Tiki Osianlis Beverley Vollenhoven |
| author_facet | Vinayak Smith Tiki Osianlis Beverley Vollenhoven |
| author_sort | Vinayak Smith |
| collection | DOAJ |
| description | The following review aims to examine the available evidence to guide best practice in preventing ovarian hyperstimulation syndrome (OHSS). As it stands, there is no single method to completely prevent OHSS. There seems to be a benefit, however, in categorizing women based on their risk of OHSS and individualizing treatments to curtail their chances of developing the syndrome. At present, both Anti-Müllerian Hormone and the antral follicle count seem to be promising in this regard. Both available and upcoming therapies are also reviewed to give a broad perspective to clinicians with regard to management options. At present, we recommend the use of a “step-up” regimen for ovulation induction, adjunct metformin utilization, utilizing a GnRH agonist as an ovulation trigger, and cabergoline usage. A summary of recommendations is also made available for ease of clinical application. In addition, areas for potential research are also identified where relevant. |
| format | Article |
| id | doaj-art-fe9db7738a3641a4979e4cd68997cfe0 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-fe9db7738a3641a4979e4cd68997cfe02025-08-20T03:25:46ZengWileyObstetrics and Gynecology International1687-95891687-95972015-01-01201510.1155/2015/514159514159Prevention of Ovarian Hyperstimulation Syndrome: A ReviewVinayak Smith0Tiki Osianlis1Beverley Vollenhoven2Alice Springs Hospital, Department of Obstetrics and Gynaecology, Alice Springs, NT 0870, AustraliaMonash IVF, 252 Clayton Road, Clayton, VIC 3168, AustraliaMonash IVF, 252 Clayton Road, Clayton, VIC 3168, AustraliaThe following review aims to examine the available evidence to guide best practice in preventing ovarian hyperstimulation syndrome (OHSS). As it stands, there is no single method to completely prevent OHSS. There seems to be a benefit, however, in categorizing women based on their risk of OHSS and individualizing treatments to curtail their chances of developing the syndrome. At present, both Anti-Müllerian Hormone and the antral follicle count seem to be promising in this regard. Both available and upcoming therapies are also reviewed to give a broad perspective to clinicians with regard to management options. At present, we recommend the use of a “step-up” regimen for ovulation induction, adjunct metformin utilization, utilizing a GnRH agonist as an ovulation trigger, and cabergoline usage. A summary of recommendations is also made available for ease of clinical application. In addition, areas for potential research are also identified where relevant.http://dx.doi.org/10.1155/2015/514159 |
| spellingShingle | Vinayak Smith Tiki Osianlis Beverley Vollenhoven Prevention of Ovarian Hyperstimulation Syndrome: A Review Obstetrics and Gynecology International |
| title | Prevention of Ovarian Hyperstimulation Syndrome: A Review |
| title_full | Prevention of Ovarian Hyperstimulation Syndrome: A Review |
| title_fullStr | Prevention of Ovarian Hyperstimulation Syndrome: A Review |
| title_full_unstemmed | Prevention of Ovarian Hyperstimulation Syndrome: A Review |
| title_short | Prevention of Ovarian Hyperstimulation Syndrome: A Review |
| title_sort | prevention of ovarian hyperstimulation syndrome a review |
| url | http://dx.doi.org/10.1155/2015/514159 |
| work_keys_str_mv | AT vinayaksmith preventionofovarianhyperstimulationsyndromeareview AT tikiosianlis preventionofovarianhyperstimulationsyndromeareview AT beverleyvollenhoven preventionofovarianhyperstimulationsyndromeareview |