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Late ovarian hyperstimulation syndrome after controlled ovarian stimulation in a woman with systemic lupus erythematosus and lupus nephritis.

Publication ,  Journal Article
Crochet, JR; Yeh, JS; Clowse, MEB; Copland, SD
Published in: Fertil Steril
April 2011

OBJECTIVE: To report a case of late ovarian hyperstimulation syndrome (OHSS) in a woman with lupus nephritis undergoing controlled ovarian stimulation and in vitro fertilization (IVF) with subsequent transfer into a gestational surrogate. DESIGN: A case report. SETTING: Academic reproductive medicine clinic. PATIENT(S): A 33-year-old woman who presented 10 days after recombinant human chorionic gonadotropin (hCG) injection with fatigue, abdominal pain, and bloating, diagnosed as OHSS. INTERVENTION(S): Patient admitted for intravenous fluid hydration, anticoagulation, and gonadotropin-releasing hormone (GnRH) antagonist therapy. MAIN OUTCOME MEASURE(S): Successful detection and management of severe OHSS in a patient with chronically impaired kidney function. RESULT(S): The patient has returned to her baseline condition, and the gestational carrier was noted to have a twin gestation. CONCLUSION(S): In patients with impaired renal function, final oocyte maturation should be triggered with a GnRH agonist rather than hCG.

Duke Scholars

Published In

Fertil Steril

DOI

EISSN

1556-5653

Publication Date

April 2011

Volume

95

Issue

5

Start / End Page

1786.e13 / 1786.e16

Location

United States

Related Subject Headings

  • Twins
  • Surrogate Mothers
  • Pregnancy, Multiple
  • Pregnancy
  • Ovulation Induction
  • Ovarian Hyperstimulation Syndrome
  • Obstetrics & Reproductive Medicine
  • Lupus Nephritis
  • Lupus Erythematosus, Systemic
  • Infertility, Female
 

Citation

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ICMJE
MLA
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Crochet, J. R., Yeh, J. S., Clowse, M. E. B., & Copland, S. D. (2011). Late ovarian hyperstimulation syndrome after controlled ovarian stimulation in a woman with systemic lupus erythematosus and lupus nephritis. Fertil Steril, 95(5), 1786.e13-1786.e16. https://doi.org/10.1016/j.fertnstert.2010.11.016
Crochet, John R., Jason S. Yeh, Megan E. B. Clowse, and Susannah D. Copland. “Late ovarian hyperstimulation syndrome after controlled ovarian stimulation in a woman with systemic lupus erythematosus and lupus nephritis.Fertil Steril 95, no. 5 (April 2011): 1786.e13-1786.e16. https://doi.org/10.1016/j.fertnstert.2010.11.016.
Crochet, John R., et al. “Late ovarian hyperstimulation syndrome after controlled ovarian stimulation in a woman with systemic lupus erythematosus and lupus nephritis.Fertil Steril, vol. 95, no. 5, Apr. 2011, pp. 1786.e13-1786.e16. Pubmed, doi:10.1016/j.fertnstert.2010.11.016.
Journal cover image

Published In

Fertil Steril

DOI

EISSN

1556-5653

Publication Date

April 2011

Volume

95

Issue

5

Start / End Page

1786.e13 / 1786.e16

Location

United States

Related Subject Headings

  • Twins
  • Surrogate Mothers
  • Pregnancy, Multiple
  • Pregnancy
  • Ovulation Induction
  • Ovarian Hyperstimulation Syndrome
  • Obstetrics & Reproductive Medicine
  • Lupus Nephritis
  • Lupus Erythematosus, Systemic
  • Infertility, Female