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)?.