Ovarian hyperstimulation syndrome
ICD-10 N98.1 · ICD-11 GA32.0

Treatment of Ovarian Hyperstimulation Syndrome in Polycystic Ovary Syndrome Using a GnRH-Agonist Stimulation Protocol

Women with polycystic ovary syndrome (PCOS) who undergo a GnRH-agonist stimulation protocol represent a specific clinical population at elevated consideration for ovarian hyperstimulation syndrome (OHSS). Managing this risk requires a protocol tailored to this scenario.

This protocol applies to patients with polycystic ovary syndrome who are receiving a GnRH-agonist stimulation protocol — a combination that warrants dedicated attention to OHSS risk.
A specific oral agent is among the options that may be considered to help reduce the risk of OHSS in this setting. The complete structured regimen — including which interventions to use, in what sequence, and under what conditions — is available in the full protocol.

Full regimen details, decision criteria, and clinical guidance are in the protocol below.

References

DOI: 10.1016/j.fertnstert.2023.11.013

Metformin may, however, be considered for OHSS risk reduction among women with PCOS using a GnRH-agonist protocol.

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