Stimulation of the high responders and strategies to prevent ovarian hyperstimulation syndrome

Ziad Rafic Hubayter, Suheil Jamil Muasher

Research output: Contribution to journalReview articlepeer-review

Abstract

Identification of high responder patients is essential prior to ovarian stimulation for in vitro fertilization. These patients usually yield a high number of oocytes (> 15) with high peak estradiol levels (> 3000 pg/ml). Pregnancy and implantation rates are excellent in these patients, but at the expense of a higher risk of ovarian hyperstimulation syndrome (OHSS). Different strategies are reported and discussed with advantages and disadvantages for each. The goal should be an approach that will maintain the good outcome while minimizing the risk of OHSS.

Original languageEnglish (US)
Pages (from-to)147-155
Number of pages9
JournalMiddle East Fertility Society Journal
Volume13
Issue number3
StatePublished - Dec 1 2008

Keywords

  • High responder
  • In vitro fertilization
  • OHSS
  • Ovarian hyperstimulation syndrome

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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