Withholding gonadotropin administration is an effective alternative for the prevention of ovarian hyperstimulation syndrome

Gonadotropin-releasing hormone agonist to induce final oocyte maturation prevents the development of ovarian hyperstimulation syndrome in high-risk patients and leads to improved clinical outcomes compared with coasting

“…Coasting is a valuable strategy for OHSS prevention but has recognized limitations, because it does not eliminate OHSS and may result in compromised cycle outcomes (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(41)(42)(43). Because OHSS may lead to dangerous and potentially fatal sequelae, complete prevention of this complication would be ideal.…”

Ovarian hyperstimulation syndrome in a patient treated with tamoxifen for breast cancer

“…Furthermore, it is well known that chorionic gonadotrophins or lutenising hormone (LH) surge are important in triggering OHSS in those receiving either exogenous gonadotrophins or stimulated by clomiphene citrate (23). However, as we had no means of measuring the lady's LH levels at the onset of her symptoms it will be impossible to know if the OHSS in this case resulted from LH surge or not.…”

Coasting May Reduce the Severity of the Ovarian Hyperstimulation Syndrome in Patients with Polycystic Ovary Syndrome

“…Our study showed that the rate of retrieved oocytes was lower in coasting cycles than in previously treated cycles. Recent studies suggest that although the number of oocytes was significantly lower in the coasting cycle, coasting did not affect the pregnancy rate [11,12].…”