Unexpected pregnancy and ovarian hyperstimulation syndrome following IVF cycle with all embryos frozen: A case report

Chi Feng Fu, Tsung Hsien Lee, Chin Der Chen, Mei Jou Chen, Hong Nerng Ho, Yu Shih Yang

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Objective: We report a patient with late onset of severe ovarian hyperstimulation syndrome (OHSS) combined with pregnancy subsequent to in vitro fertilization (IVF) cycles without embryo transfer, which is extremely rare. Case Report: This case of severe OHSS was in a 27-year-old woman who underwent controlled ovarian hyperstimulation (COH), oocyte collection, and IVF. All embryos were cryopreserved to prevent possible OHSS due to an extremely high level of estradiol (6,357 pg/mL). No embryo was transferred in this cycle. However, she was admitted 7 days after oocyte retrieval because of massive ascites and enlarged ovaries. Pregnancy was diagnosed by serum β-human chorionic gonadotropin (51 mIU/mL) 4 days later. Fetal heartbeat was demonstrated by ultrasound examination during follow-up. Conclusion: Prompt recognition of pregnancy and proper medical intervention should be given to patients with late-onset OHSS, even if no embryo was transferred in the fresh cycle. We suggest that more preventive procedures for OHSS may be necessary for patients undergoing COH and receiving no embryo transfer, such as oocyte donors and patients with polycystic ovary syndrome.
原文英語
頁(從 - 到)83-86
頁數4
期刊Taiwanese Journal of Obstetrics and Gynecology
44
發行號1
DOIs
出版狀態已發佈 - 一月 1 2005
對外發佈Yes

指紋

Ovarian Hyperstimulation Syndrome
Polycystic Ovary Syndrome
Fertilization in Vitro
Embryonic Structures
Pregnancy
Oocyte Retrieval
Embryo Transfer
Chorionic Gonadotropin
Ascites
Oocytes
Ovary
Estradiol
Tissue Donors
Serum

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

引用此文

Unexpected pregnancy and ovarian hyperstimulation syndrome following IVF cycle with all embryos frozen : A case report. / Fu, Chi Feng; Lee, Tsung Hsien; Chen, Chin Der; Chen, Mei Jou; Ho, Hong Nerng; Yang, Yu Shih.

於: Taiwanese Journal of Obstetrics and Gynecology, 卷 44, 編號 1, 01.01.2005, p. 83-86.

研究成果: 雜誌貢獻文章

Fu, Chi Feng ; Lee, Tsung Hsien ; Chen, Chin Der ; Chen, Mei Jou ; Ho, Hong Nerng ; Yang, Yu Shih. / Unexpected pregnancy and ovarian hyperstimulation syndrome following IVF cycle with all embryos frozen : A case report. 於: Taiwanese Journal of Obstetrics and Gynecology. 2005 ; 卷 44, 編號 1. 頁 83-86.
@article{34719892e23f47a2ac7c0f30a29235e1,
title = "Unexpected pregnancy and ovarian hyperstimulation syndrome following IVF cycle with all embryos frozen: A case report",
abstract = "Objective: We report a patient with late onset of severe ovarian hyperstimulation syndrome (OHSS) combined with pregnancy subsequent to in vitro fertilization (IVF) cycles without embryo transfer, which is extremely rare. Case Report: This case of severe OHSS was in a 27-year-old woman who underwent controlled ovarian hyperstimulation (COH), oocyte collection, and IVF. All embryos were cryopreserved to prevent possible OHSS due to an extremely high level of estradiol (6,357 pg/mL). No embryo was transferred in this cycle. However, she was admitted 7 days after oocyte retrieval because of massive ascites and enlarged ovaries. Pregnancy was diagnosed by serum β-human chorionic gonadotropin (51 mIU/mL) 4 days later. Fetal heartbeat was demonstrated by ultrasound examination during follow-up. Conclusion: Prompt recognition of pregnancy and proper medical intervention should be given to patients with late-onset OHSS, even if no embryo was transferred in the fresh cycle. We suggest that more preventive procedures for OHSS may be necessary for patients undergoing COH and receiving no embryo transfer, such as oocyte donors and patients with polycystic ovary syndrome.",
keywords = "Ovarian hyperstimulation syndrome, Polycystic ovary syndrome, Pregnancy",
author = "Fu, {Chi Feng} and Lee, {Tsung Hsien} and Chen, {Chin Der} and Chen, {Mei Jou} and Ho, {Hong Nerng} and Yang, {Yu Shih}",
year = "2005",
month = "1",
day = "1",
doi = "10.1016/S1028-4559(09)60115-7",
language = "English",
volume = "44",
pages = "83--86",
journal = "Taiwanese Journal of Obstetrics and Gynecology",
issn = "1028-4559",
publisher = "臺灣婦產科醫學會",
number = "1",

}

TY - JOUR

T1 - Unexpected pregnancy and ovarian hyperstimulation syndrome following IVF cycle with all embryos frozen

T2 - A case report

AU - Fu, Chi Feng

AU - Lee, Tsung Hsien

AU - Chen, Chin Der

AU - Chen, Mei Jou

AU - Ho, Hong Nerng

AU - Yang, Yu Shih

PY - 2005/1/1

Y1 - 2005/1/1

N2 - Objective: We report a patient with late onset of severe ovarian hyperstimulation syndrome (OHSS) combined with pregnancy subsequent to in vitro fertilization (IVF) cycles without embryo transfer, which is extremely rare. Case Report: This case of severe OHSS was in a 27-year-old woman who underwent controlled ovarian hyperstimulation (COH), oocyte collection, and IVF. All embryos were cryopreserved to prevent possible OHSS due to an extremely high level of estradiol (6,357 pg/mL). No embryo was transferred in this cycle. However, she was admitted 7 days after oocyte retrieval because of massive ascites and enlarged ovaries. Pregnancy was diagnosed by serum β-human chorionic gonadotropin (51 mIU/mL) 4 days later. Fetal heartbeat was demonstrated by ultrasound examination during follow-up. Conclusion: Prompt recognition of pregnancy and proper medical intervention should be given to patients with late-onset OHSS, even if no embryo was transferred in the fresh cycle. We suggest that more preventive procedures for OHSS may be necessary for patients undergoing COH and receiving no embryo transfer, such as oocyte donors and patients with polycystic ovary syndrome.

AB - Objective: We report a patient with late onset of severe ovarian hyperstimulation syndrome (OHSS) combined with pregnancy subsequent to in vitro fertilization (IVF) cycles without embryo transfer, which is extremely rare. Case Report: This case of severe OHSS was in a 27-year-old woman who underwent controlled ovarian hyperstimulation (COH), oocyte collection, and IVF. All embryos were cryopreserved to prevent possible OHSS due to an extremely high level of estradiol (6,357 pg/mL). No embryo was transferred in this cycle. However, she was admitted 7 days after oocyte retrieval because of massive ascites and enlarged ovaries. Pregnancy was diagnosed by serum β-human chorionic gonadotropin (51 mIU/mL) 4 days later. Fetal heartbeat was demonstrated by ultrasound examination during follow-up. Conclusion: Prompt recognition of pregnancy and proper medical intervention should be given to patients with late-onset OHSS, even if no embryo was transferred in the fresh cycle. We suggest that more preventive procedures for OHSS may be necessary for patients undergoing COH and receiving no embryo transfer, such as oocyte donors and patients with polycystic ovary syndrome.

KW - Ovarian hyperstimulation syndrome

KW - Polycystic ovary syndrome

KW - Pregnancy

UR - http://www.scopus.com/inward/record.url?scp=17144365077&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=17144365077&partnerID=8YFLogxK

U2 - 10.1016/S1028-4559(09)60115-7

DO - 10.1016/S1028-4559(09)60115-7

M3 - Article

AN - SCOPUS:17144365077

VL - 44

SP - 83

EP - 86

JO - Taiwanese Journal of Obstetrics and Gynecology

JF - Taiwanese Journal of Obstetrics and Gynecology

SN - 1028-4559

IS - 1

ER -