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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

Open Access 01-12-2020 | Hysterosalpingography | Case report

Ovarian hyperstimulation syndrome in a frozen-thawed embryo transfer pregnancy: a rare case report

Authors: Lihua Yang, Rong Wang, Fang Wang, Feifeng Wang, Libo Zou

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of ovarian stimulation. Prevention and early recognition of OHSS are important to ensure patient safety.

Case presentation

In this case, we reported a patient who underwent controlled ovarian hyperstimulation (COH) and in vitro fertilization (IVF). All embryos were cryopreserved to reduce possible OHSS. However, OHSS still occurred after the patient had a frozen-thawed embryo transfer (FET) with hormone replacement therapy (HRT) and obtained a dichorionic diamniotic triplet pregnancy. After multifetal pregnancy reduction (MFPR) and supportive treatment, all the symptoms regressed.

Conclusions

Prompt recognition of OHSS, especially in patients who have no history of ovulation induction and fresh embryo transfer, is very important. Multiple pregnancies may lead to severe OHSS because of the high level of human chorionic gonadotropin (hCG) in the early stages. We suggest that a single embryo transfer may be necessary and beneficial for patients.
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Metadata
Title
Ovarian hyperstimulation syndrome in a frozen-thawed embryo transfer pregnancy: a rare case report
Authors
Lihua Yang
Rong Wang
Fang Wang
Feifeng Wang
Libo Zou
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-03014-7

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