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Re: management of ovarian hyperstimulation syndrome From: Joanne Bulley, MD (jbulley@cheshire.net) Mon Jul 17 18:51:05 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: John Robertson MD: "Re: Pain Medication" Previous message: Joanne Bulley, MD: "Re: Post-menopausal cyst" In reply to: paul arenyeka: "management of ovarian hyperstimulation syndrome" Before reading my response - NOTE - it IS rather dated - 1984-ish... First - the couple of cases I was involved in (as a resident, 1984-ish) - were NEVER drained. The one that was the most dramatic had each ovary the size of a football. The edict was *DO NOT TOUCH* - never, never touch. Second - she sat in the hospital with her twin pregnancy and huge ovaries until they went down on their own - once the HCG dropped off... Third - there was a sign on the door - "no abdominal exam" - and the patient was instructed that under NO circumstance was she to allow any pressure to be put on her abdomen - med students - spouse - etc. Now that you have a drain in there - I am totally uncertain what to suggest. Perhapse remove the drain, let the ovary/ovaries drain into the abdomen - she can re-absorb via the peritoneum - and it should all quit once the HCG drops... I AM interested in what ithers are saying... Joanne At Mon, 17 Jul 2000, paul arenyeka wrote: > >A 29yr old patient that went through IVF at a fertility centre has been >managed with OHSS for the past two weeks. pregnancy has been confirmed >by hcg levels. i want to know what you would do with the continuing >asitis. this has been drained continously by abdominal parencentesis >catheter since 07/07/2000 and she is still draining about 2000mls per >day. the serum total proteins levels are low at 45g/L and albumin at >18g/L. other parameters are within normal limits.( pcv - 33% and wbc - >9.5x10/mm. > >-- >Paul Arenyeka MD > -- Joanne Bulley, MD Keene, NH, USA Next message: John Robertson MD: "Re: Pain Medication" Previous message: Joanne Bulley, MD: "Re: Post-menopausal cyst" In reply to: paul arenyeka: "management of ovarian hyperstimulation syndrome"

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