1) Ovarian hyperstimulation syndrome (OHSS) is a condition characterized by ovarian enlargement and fluid accumulation in the abdomen and sometimes lungs, due to controlled ovarian hyperstimulation for fertility treatments. 2) Risk factors include younger age, lower weight, use of gonadotropins like hMG for fertility treatments, high estrogen levels, and pregnancy. 3) Symptoms range from mild abdominal bloating to severe cases involving kidney failure. Prevention focuses on modifying fertility drug protocols and cycles based on estrogen level monitoring.

1. Ovarian Hyperstimulation Syndrome Presented by AHMED WALID ANWAR,M.D Lecturer of Obstetrics and Gynecology Benha Faculty of Medicine Egypt 2008

13. Lab. Blood Clinical Ovary Grade - HCV < 45 - TLC < 15.000/cc - Normal renal function -Abdominal Distension -GIT upset 5-I0cc 1)Mild - HCV < 45 - TLC < 15.000/cc - Normal renal function -Moderate ascites -Body wt T 2 kg/c'ay 10-12 cc 2) Moderate

14. Lab. Blood Clinical Ovary Grade - HCV > 45 - TLC > 15.999/cc - Impaired renal function - -Marked ascites -Dyspnea -Hypovolemia - Mild Thromboembolism > 12cc 3)Sever - HCV (55%), - TLC > 25000/mm3, - serum creatinine> 1.6 mg%^, -creatinine clearance < 50ml/min . -Tense ascites, -Hydrothorax. - Sever Thrombocmbolism . -Adult respiratory distress syndrome - Life threatening MARKED 4) Critical

15. Complications of OHSS:

30. Management of OHSS HOW ? ? ?

32. U/S for diagnosis of ovarian Hyperstimulation Syndrome

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