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Human Reproduction, Vol. 18, No. 7, 1363-1367, July 2003
© 2003 European Society of Human Reproduction and Embryology

Bilateral partial oophorectomy in the management of severe ovarian hyperstimulation syndrome (OHSS)

Ovarian mutilating surgery is not an option in the management of severe OHSS

José Bellver, Ernesto Escudero and Antonio Pellicer1

Departments of Infertility and Maternal-Fetal Medicine, Instituto Valenciano de Infertilidad (IVI), Plaza de la Policía Local, 3, 46015, Valencia, Spain

1 To whom correspondence should be addressed. e-mail: apellicer{at}ivi.es

Ovarian mutilating surgery is not an option in the management of ovarian hyperstimulation syndrome (OHSS), except in cases with evident tissue necrosis after torsion. When severe OHSS occurs, preservation of fertility must be the target. Therefore, conservative management should be the only feasible approach, as recommended in literature worldwide. Individualization of controlled ovarian hyperstimulation, and an early active management when OHSS initiates, are the most effective measures for reducing the incidence and severity of this disease.

Keywords: conservative management/literature review/oophorectomy/ovarian hyperstimulation syndrome/surgery


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