Guideline No. 268: Diagnosis and Management of Ovarian Hyperstimulation Syndrome

Recommendations1.Once the diagnosis of ovarian hyperstimulation syndrome is made, disease severity should be classified as mild, moderate, severe, or critical (III-B).2.The physician prescribing gonadotropins inform each woman her personal risk for (III-A).3.In areas where patients do not have ready access to physicians familiar with and management syndrome, ensure that women are made aware they contact a member team within hospital unit who has relevant experience, need arise (III-B).4.Outpatient recommended mild moderate syndrome. If outpatient more severe undertaken, capable adhering clinical instructions there system in place assess status every 1 2 days (III-A).5.Paracentesis performed admitted tense ascites alleviate their discomfort (II-2B).6.Outpatient culdocentesis considered prevention progression (II-2B).7.Women intravenous hydration observation (III-A).8.Intravenous initiated crystalloid solution prevent hemoconcentration provide adequate end-organ perfusion. perfusion maintained solution, an alternate colloid administered (II-2B).9.Pain relief managed acetaminophen and/or opioid analgesics (III-B). Non-steroidal anti-inflammatory drugs antiplatelet properties used (III-B).10.Women treatment prophylactic doses anticoagulants (II-2B).11.Critical by multidisciplinary team, according end organ affected (III-C). 1.Once ORIGINAL GUIDELINE For further information, consult original guideline at: https://doi.org/10.1016/j.jogc.2017.09.003The SOGC Reproductive Endocrinology Infertility (REI) Committee∗ conducted updated literature search 2022 using words: gonadotropins, diagnosis, management. PubMed/Medline, Cochrane, guidelines created other professional societies English-language were reviewed. The incidence Ovarian Hyperstimulation Syndrome declining over time, no additional changes identified. REI committee recommends reaffirming this guideline.∗SOGC Committee (2023): Roland Antaki, Alice Buwembo, Heather Cockwell (chair), Jason Elliott, Jinglan Han, Bryden Magee, Tarek Motan, Sahra Nathoo, Maria P. Velez, Marta Wais, Justin White, Areiyu Zhang, Rhonda ZwingermanSubject Categories: REI(En français : Diagnostic et prise en charge du d'hyperstimulation ovarienne)The English document version. In event any discrepancy between French content, version prevails. guideline. ∗SOGC Zwingerman Subject (En ovarienne)