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Re: Ovarian HyperStimulation Syndrome From: Anatoli I. Garkusha (midilover@yahoo.com) Wed Oct 18 10:13:55 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Griffiths Malcolm: "Re: list" Previous message: ainsron@msn.com: "Re: Homebirth Malpractice Insurance" Maybe in reply to: Jeffrey W. Clemens: "Ovarian HyperStimulation Syndrome" Next in thread: Anna Meenan, MD: "Re: list" Dear Jeffrey. I practice sonography as method of monitoring infertile women and here are some thoughts concerning OHSS . Ovarian stimulation signifies controled OHSS in order to force ovaries to produce many ripe follicles. Usually reproduction is directed towards deliberate enlargement of both ovaries which leads to 1 moderate stage of OHSS. The goal is to balance within this range. To avoid overdoing with stimulation (ascites, pains, cysts with compications and what not). Different centers possess their own technics of OHSS prevention. . . (Some reproductologists may atack the ovaries with less caution. An overt example of agressive artificial selection in human society. You tell what you want and I shall do it. In majority of cases the infertility etiology is not established. And what of it. I will overcome the barrier. I know how to block the pituitary at all. It won't interfere. I am the master. Later I can inflate ovaries. Take out many eggs. Fertilize them. If problems occured, I would force one masculine gamet inside the egg through the tube. No uterine tubes are needed in fact. And sometimes uterus can be replaced either. Now tell me OHSS means a thing. Not at all. I am the winner. Over Nature). Best regards. -- Anatoli I. Garkusha, MD, sonologist. Kiev, Ukraine. >Listers, especially REIs, > > I have been reading about OHSS and done the Medline and Cochrane Review >(thank you , Ob-gyn Gold) searches. Most of the abstracts are something >like this "The ovarian hyperstimulation syndrome, unique to the field of >assisted reproductive technology, remains a largely elusive and >unpredictable iatrogenic physiologic complication in the course of >pharmacologic ovarian stimulation. " from Fertil Steril 2000 >May;73(5):883-96 The ovarian hyperstimulation syndrome. Whelan JG 3rd, >Vlahos NF > > Management seems to be well understood and includes a lot of patient >waiting while closely monitoring. Patients with PCOS at higher risk for >OHSS. Some intra-ovarian growth factors have been excluded as causative. >In short, nobody knows the mechanisms. > > Anyone here have any pet theories, hunches, rumors of research results, >or anecdotes that they would like to share re:OHSS? > > BTW, can anyone "share" the above quoted article? > >Jeff >-- >Jeffrey W. Clemens, Ph.D. >Assistant Professor, Biological Sciences >Duquesne University >Pittsburgh, PA 15282 >412-396-4597 >Fax-5907 >http://www.home.cc.duq.edu/~clemens/ > Next message: Griffiths Malcolm: "Re: list" Previous message: ainsron@msn.com: "Re: Homebirth Malpractice Insurance" Maybe in reply to: Jeffrey W. Clemens: "Ovarian HyperStimulation Syndrome" Next in thread: Anna Meenan, MD: "Re: list"

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