Hypovolemic shock as a presenting sign of severe ovarian hyperstimulation syndrome following in vitro fertilization and embryo transfer (IVF-ET)

1993 ◽  
Vol 10 (7) ◽  
pp. 480-482 ◽  
Author(s):  
R. Goldchmit ◽  
U. Elchalal ◽  
Y. Zalel ◽  
A. Barash ◽  
R. Borenstein ◽  
...  
2020 ◽  
Author(s):  
Chaonan Peng ◽  
Zhixiao Wang

Abstract It is relatively rare that a natural spontaneous with severe ovarian hyperstimulation syndrome (OHSS) occurs undergoing in vitro fertilization and embryo transfer (IVF-ET).Pregnancy can cause OHSS to be delayed, and even lead to pregnancy loss in severe cases.In this case, we introduced the case of a 32-year-old female infertile patient with PCOS who underwent IVF-ET cycle and developed severe OHSS before embryo transfer. After volume expansion, symptomatic and supportive treatment and four times of abdominal puncture to extract ascites, the patient's condition is still protracted.However, interestingly, two weeks after giving up treatment, the patient found a spontaneous pregnancy and ended up with biochemical pregnancy. Severe OHSS was also gradually self-healing after biochemical pregnancy.This case emphasizes that pregnancy is one of the high-risk factors of OHSS, which can lead to the delay of the patient's condition with OHSS. Clinicians should be alert to the possibility of spontaneous pregnancy when they take luteal phase ovulation induction treatment undergoing IVF-ET cycle.


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