Evaluation of polycystic ovary syndrome patients treated for OHSS

We aimed to present the management, hospitilization time, pregnancy rates and complications of our polycystic ovary syndrome (PCOS) patients that we treated for OHSS in our clinic. Therefore this study is designed by analyzing of retrospectively collected data of 31 PCOS patients who were treated for OHSS. Diagnosis of PCOS is based on Rotterdam criteria that is published in 2003 and OHSS diagnosis is based on classification that is formed by Golan et al. GnRH (Ovitrelle® 250 mcg subcutan) is used for final maturation of oocytes. Same protocol is used for all patients at hospitalization. Results showed that GnRH agonist protocol is used for 23 patients and GnRH antagonist protocol is used for 8 patients. 8 patients (%25) were mild, 19 patients (%61) were moderate and 4 patients (%1,2) were severe OHSS. 13 patients (%42) were early onset OHSS and 18 patients (%58) were late onset OHSS. Mean oocyte counting was 21±6,3. Total freezing is used for 13 patients (%42) pregnancy is resulted for 13 patients. Mean total transvaginal aspiration liquid volume was 4800cc ±1786 cc in hospitalization. Abortion is not induced for any patient. Require for intensive care or mortality is not resulted at any patient. Mean hospitalization time was 7±2,6 days. We concluded that altough a lot of strategies are performed recently to prevent OHSS, it is still a problem. Early diagnosis and prevention of severe OHSS is very important to prevent fatal complications.