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Ovarian Hyperstimulation Syndrome

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Salud y medicinaEntretenimiento y humor
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Ovarian Hyperstimulation Syndrome Presented by AHMED WALID ANWAR,M.D Lecturer of Obstetrics and Gynecology Benha Faculty of Medicine Egypt 2008
Definition: ,[object Object],[object Object]
* It occurs : ,[object Object],[object Object],[object Object],[object Object]
Risk factors: ,[object Object],[object Object],[object Object],[object Object],[object Object]
3) Ovarian stimulation drugs : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3) Ovarian stimulation drugs : ,[object Object],[object Object],[object Object]
Risk factors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The suggested mediators for increased capillary permeability are: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis: ,[object Object],[object Object],[object Object]
Benefits of mild OHSS: ,[object Object],[object Object],[object Object],[object Object]
Recent classification of OHSS ( Jenkins&Mathur,1998 ) ,[object Object],[object Object],[object Object],[object Object]
Lab. Blood Clinical Ovary Grade - HCV < 45 - TLC < 15.000/cc - Normal renal function -Abdominal Distension -GIT upset 5-I0cc 1)Mild - HCV < 45 - TLC < 15.000/cc - Normal renal function -Moderate ascites -Body wt T 2 kg/c'ay 10-12 cc 2) Moderate
Lab. Blood Clinical Ovary Grade - HCV > 45 - TLC > 15.999/cc - Impaired renal function - -Marked ascites -Dyspnea -Hypovolemia - Mild Thromboembolism > 12cc 3)Sever - HCV (55%), - TLC > 25000/mm3, - serum creatinine> 1.6 mg%^, -creatinine clearance < 50ml/min . -Tense ascites, -Hydrothorax. - Sever Thrombocmbolism . -Adult respiratory distress syndrome - Life threatening MARKED 4) Critical
Complications of OHSS:
Complications of OHSS: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of OHSS: ,[object Object],[object Object],[object Object]
Complications of OHSS: ,[object Object],[object Object]
Prevention of OHSS : ,[object Object],HOW???
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object]
(1)PREDICTION OF OHSS : ,[object Object],[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object],[object Object]
(2) Modified Stimulation Protocols: ,[object Object],[object Object],[object Object],[object Object],[object Object]
(3) Modified techniques: ,[object Object],[object Object],[object Object],[object Object]
4) Adjuvant: ,[object Object],[object Object],[object Object]
4) Adjuvant: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of OHSS HOW ? ? ?
*DIAGNOSIS: ,[object Object],[object Object],[object Object],[object Object]
U/S for diagnosis of ovarian Hyperstimulation Syndrome
*Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
2- Medical treatment : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2- Medical treatment : ,[object Object],[object Object],[object Object],[object Object],[object Object]
2- Medical treatment : ,[object Object],[object Object],[object Object]
AVOID: ,[object Object],[object Object],[object Object],[object Object]
3) Aspiration of ascetic fluid or pleural effusion: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3) Aspiration of ascetic fluid or pleural effusion: ,[object Object],[object Object],[object Object],[object Object],[object Object]
4)Surgical treatment: ,[object Object],[object Object],[object Object],[object Object]
4)Surgical treatment: ,[object Object],[object Object],[object Object]
Thank you E.MAIL :: [email_address]

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Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材
 
Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材
 
Infertility Stem Cell 1
Infertility Stem Cell 1Infertility Stem Cell 1
Infertility Stem Cell 1
 
Infertility Stem Cell 2
Infertility Stem Cell 2Infertility Stem Cell 2
Infertility Stem Cell 2
 
Ovary Hyperstimulation 5
Ovary Hyperstimulation 5Ovary Hyperstimulation 5
Ovary Hyperstimulation 5
 
Ovary Hyperstimulation 3
Ovary Hyperstimulation 3Ovary Hyperstimulation 3
Ovary Hyperstimulation 3
 
Ovary Hyperstimulation 1
Ovary Hyperstimulation 1Ovary Hyperstimulation 1
Ovary Hyperstimulation 1
 
Laparoscopy 4
Laparoscopy 4Laparoscopy 4
Laparoscopy 4
 
Laparoscopy 3
Laparoscopy 3Laparoscopy 3
Laparoscopy 3
 
Hysteroscopy 0
Hysteroscopy 0Hysteroscopy 0
Hysteroscopy 0
 
Laparoscopy 1
Laparoscopy 1Laparoscopy 1
Laparoscopy 1
 
Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材
 
(2006)Endocrine Pituitary Gland
(2006)Endocrine Pituitary Gland(2006)Endocrine Pituitary Gland
(2006)Endocrine Pituitary Gland
 
Gyn Hyperprolactinemia
Gyn HyperprolactinemiaGyn Hyperprolactinemia
Gyn Hyperprolactinemia
 
Diagnostic Hysteroscopy Patel
Diagnostic Hysteroscopy PatelDiagnostic Hysteroscopy Patel
Diagnostic Hysteroscopy Patel
 
Hyperprolactinemia 2
Hyperprolactinemia 2Hyperprolactinemia 2
Hyperprolactinemia 2
 
Hyperprolactinemia 3
Hyperprolactinemia 3Hyperprolactinemia 3
Hyperprolactinemia 3
 
Hysteroscopy 0
Hysteroscopy 0Hysteroscopy 0
Hysteroscopy 0
 
Indonesia Hyperplasia
Indonesia HyperplasiaIndonesia Hyperplasia
Indonesia Hyperplasia
 
Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材Infertility 不孕症 2006网上教材
Infertility 不孕症 2006网上教材
 

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Ovarian Hyperstimulation Syndrome

  • 1. Ovarian Hyperstimulation Syndrome Presented by AHMED WALID ANWAR,M.D Lecturer of Obstetrics and Gynecology Benha Faculty of Medicine Egypt 2008
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  • 13. Lab. Blood Clinical Ovary Grade - HCV < 45 - TLC < 15.000/cc - Normal renal function -Abdominal Distension -GIT upset 5-I0cc 1)Mild - HCV < 45 - TLC < 15.000/cc - Normal renal function -Moderate ascites -Body wt T 2 kg/c'ay 10-12 cc 2) Moderate
  • 14. Lab. Blood Clinical Ovary Grade - HCV > 45 - TLC > 15.999/cc - Impaired renal function - -Marked ascites -Dyspnea -Hypovolemia - Mild Thromboembolism > 12cc 3)Sever - HCV (55%), - TLC > 25000/mm3, - serum creatinine> 1.6 mg%^, -creatinine clearance < 50ml/min . -Tense ascites, -Hydrothorax. - Sever Thrombocmbolism . -Adult respiratory distress syndrome - Life threatening MARKED 4) Critical
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  • 30. Management of OHSS HOW ? ? ?
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  • 32. U/S for diagnosis of ovarian Hyperstimulation Syndrome
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  • 43. Thank you E.MAIL :: [email_address]