26 yr lady with delayed cycles presents to the infeility clinic. After diagnosing her to be a case anovulation of 'Normogonadotropic Hypogonadism' type she was put on human menopausal gonadotropin (HMG) for ovulation induction from the second day of her menstrual period. She was 'Triggered' for follicular rupture with Human chorionic gonadotropin (hCG) and on the 19th day of this cycle she developed dyspnoea, reduced urine output, abdominal bloating and pain. What condition is this patient likely suffering from?
OHSS is a medical complication that is completely iatrogenic and unique to stimulatory infeility treatment. Its symptoms are the result of ovarian enlargement and fragility, extravascular fluid accumulation, and intravascular volume depletion This tends to be more severe with multiple gestation Clinical feature:- Abdominal distension, Abdominal pain, Nausea and vomiting. Management: Intravascular fluid intake to replenish the volume Symptomatic treatment , like tapping of the ascites and pleural effusion
Theca lutem cysts
Ovarian hyperstimulation syndrome
Ruptured ectopic pregnancy
Ruptured corpus luteum cyst
NEET Jan 2020