To carry out IVF, a woman is prescribed special preparations that should stimulate the maturation of not one, but several follicles with ovules (up to 10-12). After stimulation, puncture of these follicles is made and eggs are taken from them. But in some women because of the individual characteristics of the body, there may be a hyperstimulation of the ovaries with IVF.
Ovarian hyperstimulation syndrome with IVF
Especially often, hyperstimulation with IVF occurs in women who have been diagnosed with polycystic ovary syndrome. This is a very serious complication with IVF, it begins to manifest itself with superstimulation. But the main symptoms occur when hyperstimulation develops after IVF and pregnancy occurs - during the first trimester. The earlier the hyperstimulation syndrome manifests itself, the more complex it is.
Symptoms of hyperstimulation with IVF
The first signs of hyperstimulation that occur with IVF - pain, a feeling of heaviness in the lower abdomen, an increase in its volume, an increase in urination. Symptoms of intoxication (nausea, vomiting, impaired appetite), diarrhea, flatulence, weight gain, the size of the ovaries is 8-12 cm At a severe degree, there are violations of the heart, shortness of breath, increased blood pressure, very large increases in the size of the stomach, the size of the ovaries from 12 to 20-25 cm in diameter.
Complications of ovarian hyperstimulation syndrome may be ruptured ovarian cysts, ovarian torsion due to excessive mobility and ovarian necrosis, ectopic pregnancy. There is accumulation of fluid in the abdominal cavity (ascites), thoracic cavity (hydrothorax) due to impaired renal function. Increased thrombus formation with ovarian hyperstimulation can lead to thrombosis of the blood vessels of the liver or kidneys.
Treatment of ovarian hyperstimulation syndrome
With mild severity, there is no special treatment. Women are recommended to drink abundantly, have adequate nutrition, avoid physical exertion and control daily diuresis. The average and severe degree is treated permanently: prescribe drugs that reduce the permeability of the vessel wall (antihistamines, corticosteroids, anti-prostaglandins). To prevent the formation of thrombi appoint drugs that reduce blood coagulability. When ruptures of cysts or torsion and necrosis of the ovaries, surgical intervention is possible.