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Spontaneous ovarian hyperstimulation syndrome following a thawed embryo transfer cycle

  • Kim, Mi Kyoung (Fertility Center of CHA Gangnam Medical Center, CHA Gangnam Medical Center, CHA University) ;
  • Won, Hyung Jae (Fertility Center of CHA Gangnam Medical Center, CHA Gangnam Medical Center, CHA University) ;
  • Shim, Sung Han (Fertility Center of CHA Gangnam Medical Center, CHA Gangnam Medical Center, CHA University) ;
  • Cha, Dong Hyun (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University) ;
  • Yoon, Tae Ki (Fertility Center of CHA Gangnam Medical Center, CHA Gangnam Medical Center, CHA University)
  • 투고 : 2014.07.21
  • 심사 : 2014.09.11
  • 발행 : 2014.09.30

초록

This article reports a case of spontaneous ovarian hyperstimulation syndrome (OHSS) following a thawed embryo transfer cycle. OHSS, a potentially life-threatening condition, is an iatrogenic complication of controlled ovarian stimulation; therefore, it is very important to prevent and treat OHSS during treatment with ovulation-inducing agents. Despite our efforts to prevent OHSS, in this case, severe spontaneous OHSS occurred, which resulted in uncontrolled preterm labor and a preterm delivery and also persisted for 6 weeks after delivery. Freezing all embryos cannot entirely prevent the development of OHSS because OHSS can occur spontaneously. Although spontaneous OHSS remains a rare event, females with a history of OHSS may have an elevated risk for spontaneous OHSS. We suggest closely monitoring cases of pregnancy following thawed embryo transfer for early diagnosis of spontaneous OHSS and the use of conservative management.

키워드

참고문헌

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피인용 문헌

  1. Ovarian hyperstimulation syndrome in a frozen-thawed embryo transfer pregnancy: a rare case report vol.20, pp.1, 2014, https://doi.org/10.1186/s12884-020-03014-7
  2. Indications for Abdominal Surgery in Spontaneous Ovarian Hyperstimulation: A Literature Review vol.36, pp.6, 2014, https://doi.org/10.1089/gyn.2018.0096