Ovarian Hyperstimulation Syndrome (OHSS): Ultrasound Diagnosis After IVF, Imaging Findings and Treatment
A Radiologist’s Case-Based Guide to Recognizing a Potentially Dangerous IVF Complication Introduction: When “Normal” Post-IVF Bloating Is No Longer Normal A 31-year-old woman undergoes in vitro fertilization (IVF), hoping that years of infertility treatment will finally lead to pregnancy. Several days after ovarian stimulation, however, something changes. Her abdomen begins to feel unusually tight. The bloating becomes progressively worse. Then abdominal pain develops. At first, it may be tempting to interpret these symptoms as a temporary consequence of fertility treatment. After all, ovarian stimulation intentionally causes the ovaries to enlarge and multiple follicles to develop. But there is a critical distinction between expected ovarian response and ovarian hyperstimulation syndrome (OHSS) . The attached case describes a 31-year-old woman following IVF who developed rapid abdominal distension and pain, with ultrasound demonstrating markedly enlarged bilateral ovaries containing ...