Ovarian hyperstimulation syndrome and complications of ART

Best Pract Res Clin Obstet Gynaecol. 2009 Oct;23(5):691-709. doi: 10.1016/j.bpobgyn.2009.02.006. Epub 2009 Jul 25.

Abstract

This article reviews serious clinical complications related to assisted reproductive technology (ART) procedures (ovarian stimulation and oocyte aspiration), including ovarian hyperstimulation syndrome (OHSS), bleeding and infection. These complications are rare, but can be severe and even life-threatening. It is important that general practitioners and gynaecologists are aware of these complications, because they will often be the first to be contacted by patients. Similarly, patients should be counselled before starting ART procedures that iatrogenic complications can be associated with ovarian stimulation and/or oocyte aspiration.

Publication types

  • Review

MeSH terms

  • Adnexal Diseases / etiology
  • Ambulatory Care
  • Anticoagulants / therapeutic use
  • Critical Care
  • Cryopreservation
  • Electrolytes / therapeutic use
  • Female
  • Fluid Therapy / methods
  • Hemorrhage
  • Hospitalization
  • Humans
  • Mutation / genetics
  • Oocyte Retrieval / methods
  • Ovarian Hyperstimulation Syndrome / etiology*
  • Ovarian Hyperstimulation Syndrome / prevention & control
  • Pelvic Inflammatory Disease / etiology
  • Receptors, FSH / genetics
  • Renin-Angiotensin System / physiology
  • Reproductive Techniques, Assisted / adverse effects*
  • Risk Factors
  • Thromboembolism / etiology
  • Torsion Abnormality / etiology
  • Vascular Endothelial Growth Factor A / physiology
  • Vasodilation / physiology

Substances

  • Anticoagulants
  • Electrolytes
  • Receptors, FSH
  • Vascular Endothelial Growth Factor A