Author
Ma. Isidora Margarit Yap-Garcia ,
Delfin A. Tan
Related Institution
Section of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, - St. Luke's Medical Center , Quezon City, Metro Manila, Philippines
Publication Information
Sub Type
Journal Article, Original
Title
Philippine Journal of Reproductive Endocrinology and Infertility
Date of Publication
January-December 2010
Abstract This is the case of a 26 year-old nulligravida with Polycystic Ovary Syndrome who developed severe Ovarian Hyperstimulation Syndrome (OHSS) during ovulation induction for Intrauterine Insemination (IUI). Three problems were encountered during treatment. The first was whether to convert a planned ovulation induction and IUI, that resulted in multiple follicular development, to an in vitro Fertilization - Intracytoplasmic Sperm Injection cycle. The second problem was determining what strategies are relevant in preventing OHSS in a woman at high risk for developing severe hyperstimulation. The third problem was why, when and how to employ abdominal paracentesis in the management of severe OHSS. Though the patient's course was turbulent, management was successful. She is now awaiting embryo transfer and, ultimately, motherhood.
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