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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
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 Posted: Fri Jan 26, 2007 10:14 pm Post subject: OHSS |
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OHSS is usually cured by aspiration of ovarian follicles  T / F
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region |
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wolverine
Century Club
Joined: 16 Jan 2007
Posts: 394
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| Posted: Fri Jan 26, 2007 10:45 pm Post subject: |
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| False. Treatment is basically supportive. |
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mridulaben
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Joined: 08 Nov 2006
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Location: Brunei
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| Posted: Sat Jan 27, 2007 10:31 am Post subject: |
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Yes FALSE, Rx is conservative as self limited, unless severe then aspiration is indicated i think  |
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EMAK
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| Posted: Sat Jan 27, 2007 1:18 pm Post subject: |
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It is not cured but amiliorated because by aspiration we will get rid of inflamatory mediators..therefore, the condition improves....
My graetings ..Raj... |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Jan 27, 2007 5:31 pm Post subject: Re: OHSS |
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| rpwalavalkar wrote: | | OHSS is usually cured by aspiration of ovarian follicles T / F |
Few important words here ...
cured - a bit like the word always in that it is almost always false! Nothing cures really 
Follicular aspiration (I presume they / you mean oocyte collection) does not affect the incidence or severity of OHSS. This relates to hCG and luteal support. Any pregnancy (and multiple pregnancy especially) considerably increase the risk and severity of OHSS as does the use of hCG for luteal support. It is still increased with progestogen support but less so. The best treatment is to avoid OHSS and this involves cycle cancellation prior to the administration of hCG for oocyte maturation (36 hours before oocyte collection) or not putting the embryos back if you have gone past this point. Identifying high risk patients (PCO, past OHSS, young slim women etc) and modifying their treatment protocol (low dose FSH, antagonist cycles, and now IVM) is the best treatment / prophylaxis.
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
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| Posted: Sat Jan 27, 2007 8:23 pm Post subject: |
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a fab explaination nick, no one has an excuse for forgetting OHSS now.
by the way the answer is FALSE.
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Dr Miss. Raj Walavalkar MBBS MRCOG
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