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Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report

Year 2020, Volume: 9 Issue: 1, 45 - 48, 08.04.2020
https://doi.org/10.5505/abantmedj.2020.68926

Abstract

Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication of ovulation induction or controlled ovarian hyperstimulation. The OHSS frequently occurs due to the administration of human chorionic gonadotropin (hCG) in controlled ovarian hyperstimulation cycles. However, OHSS has been reported rarely in normal spontaneous pregnancy cases. In this paper, a case of mild OHSS at 10 weeks 5 days of gestation in a woman with singleton gestation, who conceived naturally after cessation of a long-term combined oral contraceptive use was reported. Patients using long-term oral contraceptive should be informed about the symptoms of OHSS for early diagnosis. Early diagnosis and appropriate supportive therapy are essential to avoid the potentially life-threatening complications of OHSS.

References

  • Bhavsar PN, Padwal NJ, Bhide M, Ghagare SP, Joshi AR, Karnik ND. Life-threatening Medical Complications Due to Ovarian Hyperstimulation Syndrome: A Hidden Etiology. J Assoc Physicians India 2017; 65: 87-91.
  • Eskew AM, Omurtag KR. Ovarian hyperstimulation syndrome management strategies: where are we going? Minerva Endocrinol 2018; 43: 50-6.
  • Nelson SM. Prevention and management of ovarian hyperstimulation syndrome. Thromb Res 2017; 151: 61-4.
  • Cabar FR. Ovarian hyperstimulation syndrome in a spontaneous singleton pregnancy. Einstein (Sao Paulo) 2016; 14: 231-4.
  • Dey AK, Dubey A, Mittal K, Kale S. Spontaneous ovarian hyperstimulation syndrome understanding the dilemma. Gynecol Endocrinol 2015; 31: 587-9.
  • Ozay C, Emekci O, Okyay RE, Gülekli B. Ovarian Hyperstimulation Syndrome. Turkiye Klinikleri J Gynecol Obst-Special Topics. 2015; 8: 112-5.
  • Pinkas H, Sapir O, Avrech OM, Ben-Haroush A, Ashkenzi J, Fisch B, Farhi J. The effect of oral contraceptive pill for cycle scheduling prior to GnRH-antagonist protocol on IVF cycle parameters and pregnancy outcome. J Assist Reprod Genet 2008; 25: 29-33.
  • Kim CH, You RM, Kang HJ, Ahn JW, Jeon I, Lee JW, Kim SH, Chae HD, Kang BM. GnRH antagonist multiple dose protocol with oral contraceptive pill pretreatment in poor responders undergoing IVF/ICSI. Clin Exp Reprod Med 2011; 38: 228-33.
  • Pan JX, Liu Y, Ke ZH, Zhou CL, Meng Q, Ding GL, Xu GF, Sheng JZ, Huang HF. Successive and cyclic oral contraceptive pill pretreatment improves IVF/ICSI outcomes of PCOS patients and ameliorates hyperandrogenism and antral follicle excess. Gynecol Endocrinol 2015; 31: 332-26.

Uzun süreli kombine oral kontraseptif kullanımının bırakılmasından sonra oluşan spontan bir gebelikte ovarian hiperstimülasyon sendromu: Bir olgu sunumu

Year 2020, Volume: 9 Issue: 1, 45 - 48, 08.04.2020
https://doi.org/10.5505/abantmedj.2020.68926

Abstract

Ovarian hiperstimülasyon sendromu (OHSS), ovulasyon indüksiyonunun veya kontrollü ovarian hiperstimülasyonun iatrojenik bir komplikasyonudur. Ovarian hiperstimülasyon sendromu, kontrollü ovarian hiperstimülasyon sikluslarında insan koryonik gonadotropin (hCG) uygulamasından dolayı sıklıkla meydana gelir. Ancak, normal spontan gebelik vakalarında OHSS nadir olarak bildirilmiştir. Bu yazıda, uzun süreli kombine oral kontraseptif kullanımının kesilmesinden sonra spontan gebe kalan, tekil gebeliği olan bir kadında, 10 hafta 5 günlük gebelik haftasında orta şiddette OHSS vakası bildirilmiştir. Uzun süreli oral kontraseptif kullanan hastalar erken tanı için OHSS semptomları hakkında bilgilendirilmelidir. Erken tanı ve uygun destek tedavisi, OHSS'nin yaşamı tehdit edici komplikasyonlarından kaçınmak için esastır.

References

  • Bhavsar PN, Padwal NJ, Bhide M, Ghagare SP, Joshi AR, Karnik ND. Life-threatening Medical Complications Due to Ovarian Hyperstimulation Syndrome: A Hidden Etiology. J Assoc Physicians India 2017; 65: 87-91.
  • Eskew AM, Omurtag KR. Ovarian hyperstimulation syndrome management strategies: where are we going? Minerva Endocrinol 2018; 43: 50-6.
  • Nelson SM. Prevention and management of ovarian hyperstimulation syndrome. Thromb Res 2017; 151: 61-4.
  • Cabar FR. Ovarian hyperstimulation syndrome in a spontaneous singleton pregnancy. Einstein (Sao Paulo) 2016; 14: 231-4.
  • Dey AK, Dubey A, Mittal K, Kale S. Spontaneous ovarian hyperstimulation syndrome understanding the dilemma. Gynecol Endocrinol 2015; 31: 587-9.
  • Ozay C, Emekci O, Okyay RE, Gülekli B. Ovarian Hyperstimulation Syndrome. Turkiye Klinikleri J Gynecol Obst-Special Topics. 2015; 8: 112-5.
  • Pinkas H, Sapir O, Avrech OM, Ben-Haroush A, Ashkenzi J, Fisch B, Farhi J. The effect of oral contraceptive pill for cycle scheduling prior to GnRH-antagonist protocol on IVF cycle parameters and pregnancy outcome. J Assist Reprod Genet 2008; 25: 29-33.
  • Kim CH, You RM, Kang HJ, Ahn JW, Jeon I, Lee JW, Kim SH, Chae HD, Kang BM. GnRH antagonist multiple dose protocol with oral contraceptive pill pretreatment in poor responders undergoing IVF/ICSI. Clin Exp Reprod Med 2011; 38: 228-33.
  • Pan JX, Liu Y, Ke ZH, Zhou CL, Meng Q, Ding GL, Xu GF, Sheng JZ, Huang HF. Successive and cyclic oral contraceptive pill pretreatment improves IVF/ICSI outcomes of PCOS patients and ameliorates hyperandrogenism and antral follicle excess. Gynecol Endocrinol 2015; 31: 332-26.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Ayşe Nur Aksoy 0000-0002-3793-9797

Ebru Bulut Erdem This is me 0000-0002-4901-6965

Elcin Telli This is me 0000-0002-3228-8809

Publication Date April 8, 2020
Submission Date October 20, 2019
Published in Issue Year 2020 Volume: 9 Issue: 1

Cite

APA Aksoy, A. N., Bulut Erdem, E., & Telli, E. (2020). Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report. Abant Medical Journal, 9(1), 45-48. https://doi.org/10.5505/abantmedj.2020.68926
AMA Aksoy AN, Bulut Erdem E, Telli E. Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report. Abant Med J. April 2020;9(1):45-48. doi:10.5505/abantmedj.2020.68926
Chicago Aksoy, Ayşe Nur, Ebru Bulut Erdem, and Elcin Telli. “Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report”. Abant Medical Journal 9, no. 1 (April 2020): 45-48. https://doi.org/10.5505/abantmedj.2020.68926.
EndNote Aksoy AN, Bulut Erdem E, Telli E (April 1, 2020) Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report. Abant Medical Journal 9 1 45–48.
IEEE A. N. Aksoy, E. Bulut Erdem, and E. Telli, “Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report”, Abant Med J, vol. 9, no. 1, pp. 45–48, 2020, doi: 10.5505/abantmedj.2020.68926.
ISNAD Aksoy, Ayşe Nur et al. “Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report”. Abant Medical Journal 9/1 (April 2020), 45-48. https://doi.org/10.5505/abantmedj.2020.68926.
JAMA Aksoy AN, Bulut Erdem E, Telli E. Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report. Abant Med J. 2020;9:45–48.
MLA Aksoy, Ayşe Nur et al. “Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report”. Abant Medical Journal, vol. 9, no. 1, 2020, pp. 45-48, doi:10.5505/abantmedj.2020.68926.
Vancouver Aksoy AN, Bulut Erdem E, Telli E. Ovarian Hyperstimulation Syndrome in A Spontaneous Pregnancy After Cessation of A Long-Term Combined Oral Contraceptive Use: A Case Report. Abant Med J. 2020;9(1):45-8.