Development of severe ovarian hyperstimulation syndrome after inadvertent stimulation with a gonadotropin-releasing hormone agonist and human menopausal gonadotropin in a pre-existing early pregnancy.
OBJECTIVE: To report a case of severe ovarian hyperstimulation syndrome (OHSS) after inadvertent GnRH long protocol/hMG stimulation in a pre-existing early pregnancy. DESIGN: Case report. SETTING: Private infertility clinic. PATIENT(S): A 28-year-old woman who conceived spontaneously following IVF and cryo-embryo transfer (cryo-ET). INTERVENTION(S): IVF/intracytoplasmic sperm injection (ICSI), cryo-ET, analgesia, and forced diuresis. MAIN OUTCOME MEASURE(S): Viable pregnancy. RESULT(S): Viable pregnancy with OHSS despite inadvertent administration of GnRH-agonist, stimulation with hMG, and ET in a pre-existing pregnancy. CONCLUSION(S): Observation of follicle development following stimulation during pregnancy with low quantity and poor quality oocytes combined with abnormal endometrium.