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Is it advisable to perform ovarian puncture with hyperstimulation?

By Sergio Rogel Cayetano.
Last Update: 07/27/2020

It should be clarified that ovarian hyperstimulation syndrome occurs after ovulation, usually after the administration of HCG. For this reason, punctures are never performed in hyperstimulation, but rather at the risk of hyperstimulation.

When a patient is at risk of hyperstimulation, it is possible to perform different strategies:

Lowering or stopping the administration of gonadotropins
will decrease the ovarian quality, but the probability of hyperstimulation is reduced.
Avoid administering HCG (Ovitrelle)
reduces hyperstimulation to practically zero. It is the most widely used strategy today.
Follicular punction
reduces ovarian volume, the discomfort associated with hyperstimulation, and may reduce the number of active granulosa cells, thus helping to prevent the syndrome.

Suggested for you: What Is the Ovarian Hyperstimulation Syndrome (OHSS)?.

 Sergio Rogel Cayetano
Sergio Rogel Cayetano
MD
Gynecologist
Bachelor's Degree in Medicine from the Miguel Hernández University of Elche. Specialist in Obstetrics & Gynecology via M. I. R. at Hospital General de Alicante. He become an expert in Reproductive Medicine by working at different clinics of Alicante and Murcia, in Spain, until he joined the medical team of IVF Spain back in 2011.
License: 03-0309100
Gynecologist. Bachelor's Degree in Medicine from the Miguel Hernández University of Elche. Specialist in Obstetrics & Gynecology via M. I. R. at Hospital General de Alicante. He become an expert in Reproductive Medicine by working at different clinics of Alicante and Murcia, in Spain, until he joined the medical team of IVF Spain back in 2011. License: 03-0309100.