Ovarian Hyperstimulation Syndrome During Induction of Ovulation for Intra Uterine Insemination

Abstract

Ovarian Hyperstimulation Syndrome (OHSS) is a known iatrogenic complication of ovulation induction. Our experience of such complication while managing basic assisted conception cycles has been analysed in the present stud}'. 12 such cases were identified in 976 cycles studied gil'ing an overall incidence of 1.22%. All the cases were of mild to moderate variety and were managed conservatively, The duration of the complication ranged between 10 days to 6 weeks. Polycystic ovarian disease, LH : FSH ratio of more than 1, presence of four or more secondary follicles were found to be important predictive criteria. Identification of predictive factors of OHSS can be helpful in taking due care while using ovulation inducing drugs. Conception does worsen OHSS, but termination is usually not necessary.