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Human Reproduction, Vol. 8, No. 8, pp. 1184-1186, 1993
© 1993 European Society of Human Reproduction and Embryology

research-article

Endocrinology: Repeated aspiration of ovarian follicles and early corpus luteum cysts in an in-vitro fertilization programme reduces the risk of ovarian hyperstimulation syndrome in high responders

A. Amit, Y. Yaron, I. Yovel, M.R. Peyser, M.P. David, A. Botchan and J.B. Lessing1

In Vitro Fertilization/Embryo Transfer Unit, Tel Aviv Sourasky Medical Centre, Serlin Maternity Hospital, Sackler Faculty of Medicine, Tel Aviv University Israel

Correspondence: 1To whom correspondence should be addressed at: In Vitro Fertilization/Embryo Transfer Unit, Serlin Maternity Hospital, PO Box 7079, Tel Aviv 61070, Israel

A retrospective analysis of ovarian hyperstimulation syndrome in high responders undergoing in-vitro fertilization (IVF) is presented. High responders were defined as having > 20 follicles and serum oestradiol > 3000 pg/ml after treatment with human menopausal gonadotrophin. Of the initial 30 IVF cycles in high responders, 23 developed a moderate-to-severe ovarian hyperstimulation syndrome (76.7%). Subsequently, 15 other IVF cycles in high responders were combined with a repeated aspiration of ovarian follicles and corpus luteum cysts just prior to embryo transfer. Only three patients (20%) developed a moderate ovarian hyperstimulation syndrome (P = 0.0004). We conclude that repeated follicular aspiration is safe and results in a significant reduction in the incidence and severity of this condition in high responders undergoing IVF.

Key words: in-vitro fertilization/ovarian hyperstimulation syndrome/ovulation induction/repeated aspiration


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