| Ovarian hyperstimulation syndrome: an analysis of patient characteristics in the Asian population. | |
| | |
MedLine Citation:
|
PMID: 21451925 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Introduction: We aimed to identify the variables associated with ovarian hyperstimulation in Asian patients and compare them with western standards. Methods: This is a retrospective case record analysis of 79 patients with ovarian hyperstimulation at a tertiary restructured hospital. Results: Gonadotropin doses resulting in hyperstimulation did not vary between long and antagonist cycles in women less than 35 years with polycystic ovaries (PCO). Mean oestradiol levels at hyperstimulation were not different between PCO and non-PCO patients in a long cycle. Hyperstimulation was mostly due to higher starting doses. Total follicle counts of more than 20 on Day 5-7 after stimulation may be predictive of subsequent hyperstimulation. Hyperstimulation tended to be more severe in lean PCO patients, and prophylactic albumin helped to reduce its severity. Conclusion: Gonadotropin doses at stimulation should start at 150 iu or less in women below 35 years of age, with a step up of 37.5 iu, as necessary. Transfer should be abandoned in the presence of high oestradiol levels (more than 5,000 pg/ml), when the total number of intermediate and large follicle count exceeds 30 on the day of oocyte retrieval, or when more than 19 eggs are retrieved. Variables in the Asian population appear to be similar to those in the western population. |
| | |
Authors:
|
H Rajesh; W Y Lee; S Fook-Chong; S L Yu |
Related Documents
:
|
15072475 - Prediction of neurocognitive outcome in adult brain tumor patients. 10730635 - Nipah viral encephalitis or japanese encephalitis? mr findings in a new zoonotic disease. 8562735 - Magnetic resonance imaging of the brain in patients with cerebral malaria. 9854265 - Coordinated expression in chronically unconscious persons. 6339985 - Controlled trial of pergolide mesylate in parkinson's disease and progressive supranucl... 21215585 - Complications after aortic arch hybrid repair. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Singapore medical journal Volume: 52 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-03-31 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
|
Languages: eng Pagination: 168-74 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynaecology, Singapore General Hospital, Outram Road, Singapore 169608. hemashreerajesh@yahoo.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Higher-order multiple births in Abakaliki, Southeast Nigeria.
Next Document: Comparison of haematological parameters in patients with non-alcoholic fatty liver disease and alcoh...