2017
DOI: 10.1080/14647273.2017.1331048
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Outpatient management of severe ovarian hyperstimulation syndrome: a systematic review and a review of existing guidelines

Abstract: Ovarian hyperstimulation syndrome (OHSS) is a potentially serious complication of assisted reproductive treatment. Management of women with severe OHSS has traditionally included hospitalisation for close monitoring and supportive treatment. The aim of this review is to assess the evidence for safety and efficacy of outpatient management of severe OHSS. A systematic review of studies describing outpatient management options was performed. Current guidance from advisory bodies was also reviewed. Outpatient mana… Show more

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Cited by 19 publications
(11 citation statements)
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“…P represented the comparisons between the PCOS group and the control group. OHSS was estimated based on the clinical research criteria made by Mathur et al18 T A B L E 4Abbreviations: FF E2, estradiol in the follicular fluid; FF T, testosterone in the follicular fluid; PCOS, polycystic ovary syndrome; SHBG, sex hormone-binding globulin. P represented the comparisons between the PCOS and control groups.Abbreviations: PCOS, polycystic ovary syndrome; SHBG, sex hormonebinding globulin; SNP, single-nucleotide polymorphism.…”
mentioning
confidence: 99%
“…P represented the comparisons between the PCOS group and the control group. OHSS was estimated based on the clinical research criteria made by Mathur et al18 T A B L E 4Abbreviations: FF E2, estradiol in the follicular fluid; FF T, testosterone in the follicular fluid; PCOS, polycystic ovary syndrome; SHBG, sex hormone-binding globulin. P represented the comparisons between the PCOS and control groups.Abbreviations: PCOS, polycystic ovary syndrome; SHBG, sex hormonebinding globulin; SNP, single-nucleotide polymorphism.…”
mentioning
confidence: 99%
“…The treatment approach for the clinical management of OHSS is multifaceted and individualized based on disease severity and progression. Most mild and moderate cases of OHSS are self-limited and require only intensive monitoring in the outpatient department; however, severe OHSS requires hospitalization to relieve symptoms and control the progression of the disease ( 23 , 24 ). In this study, TAT, PIC, and sTM levels in the mild–moderate OHSS group were significantly higher than those in the control group ( P < 0.001, P < 0.001, and P < 0.001, respectively).…”
Section: Discussionmentioning
confidence: 99%
“…Paracentesis of ascitic fluid, rehydration and thromboprophylaxis were the main components of therapy. 89 A rare but severe complication of high grade OHSS is hydrothorax, located mainly on the right side, due to transfer of the abdominal fluid to the chest through the thoracic duct. Therefore, when dyspnea occurs, an appropriate diagnostic path must be followed with physical examination, chest radiography and arterial blood gas analysis.…”
Section: Paracentesismentioning
confidence: 99%