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OHSS

Ovarian hyperstimulation after fertility treatment.

Source: RCOG GTG 5

Grade

MildBloating, mild pain, ovaries <8 cm.
ModerateNausea/vomiting, ascites on scan, ovaries 8–12 cm.
SevereClinical ascites, oliguria, Hct >0.45, Na <135, albumin <35.
CriticalTense ascites, Hct >0.55, WCC >25, anuria, VTE, ARDS.
LMWH prophylaxis; avoid diuretics; paracentesis if needed.
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