A case of ovarian hyperstimulation syndrome with spontaneous
A 28-year-old woman a case of anovulatory secondary infertility underwent ovulation induction with gonadotropins and regular ultrasound guided follicular monitoring from D2 of her menstrual cycle for intrauterine insemination (IUI). On D12 of her menstrual cycle when she had three follicles of 18 to 21 mm size with endometrium of 9 mm she was then given Inj HCG (10000 IU) as surrogate for ovulation and her IUI was done after 36 hrs. Patient presented 10 days after IUI with nausea, mild pain and distension of abdomen. Ultrasound revealed bilateral ovarian enlargement (right ovary 6.8 x7.2 cms and left ovary 7.2 x 8.3 cms) with anechoic peritoneal collection predominantly to pouch of Douglas. Her hemoglobin and PCV were 15gm/dl and 45% respectively. She was diagnosed as a case of moderate OHSS, admitted and treated conservatively with plasma expanders (Human Albumin 20%) and anti-emetics and H2 blockers according to our department guidelines....