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Flashcards – Management of Ovarian Hyperstimulation Syndrome – Answers based on GTG 5 (version February 2016).

Question 1

Pregnancies complicated by OHSS are at increased risk of

Answer
  • Pre-eclampsia and

  • Preterm delivery

Question 2

Indications for paracentesis in OHSS are:

Answer
  • Severe abdominal distension & abdominal pain secondary to ascites
  • SOB & respiratory compromise
  •  Oliguria despite fluid replacement
  • Reduced renal perfusion.
Question 3
How many cycles of conventional IVF are complicated by mild OHSS?
Answer

One third

Question 4

___  should be suspected in women with OHSS who present with unusual neurological symptoms, even if they present several weeks after apparent improvement in OHSS.

Answer

Thromboembolism

Question 5
How many cycles of conventional IVF are complicated by moderate – severe OHSS?
Answer

3.1% to 8%

Question 6

Indications of surgery in OHSS

Answer
  • Adnexal Torsion

  • Ovarian Rupture

  • Ectopic pregnancy

Question 7
Percentage of women with moderate/severe OHSS that may require admission to hospital.
Answer

Upto 1%

Question 8

Patient and cycle characteristics that increase the risk of OHSS

Answer
  • Previous h/o OHSS

  • PCOS

  • Increased AFC

  • High levels of AMH


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