Ghost....plz reply

[sara73]

Hello...I am out of the 2ww with a BFP and am waiting for my first U/S on the 22. I had OHSS after the ER...it really hurt...I was prescribed Cabergoline as they had anticipated that this would occur...A hot water bottle also helped and I felt better before my ET which was on the third day....kept getting better in the first week after ET, but about 3 days before my Beta test, the OHSS symptoms started to appear again. and today 3 days after my beta test, ie 17 days after ET, I am still bloated with a lot of fluid retention but the doc said that if u can cope, no need to drain it...I am quite uncomfortable and wonder when the OHSS symptoms will be over? My beta was a whopping 800!!...any idea what it could be as I transferred 3 blasts, which were 3dpo.

[Ghost]

Hello...I am out of the 2ww with a BFP and am waiting for my first U/S on the 22. I had OHSS after the ER...it really hurt...I was prescribed Cabergoline as they had anticipated that this would occur...A hot water bottle also helped and I felt better before my ET which was on the third day....kept getting better in the first week after ET, but about 3 days before my Beta test, the OHSS symptoms started to appear again. and today 3 days after my beta test, ie 17 days after ET, I am still bloated with a lot of fluid retention but the doc said that if u can cope, no need to drain it...I am quite uncomfortable and wonder when the OHSS symptoms will be over? My beta was a whopping 800!!...any idea what it could be as I transferred 3 blasts, which were 3dpo.

As you are probably aware, the hCG from the pregnancy is causing your OHSS, just as the hCG from the "trigger" did. More specifically, hCG is stimulating your many corpora lutea to produce another hormone called VEGF, and excessive VEGF causes the capillaries to become overly permeable, allowing fluid to pass from your bloodstream into your abdomen.

High responders have many follicles and therefore many corpora lutea, which explains their high risk for OHSS.

OHSS has been correlated with multiples (more hCG production). It has also been correlated with successful outcome (live birth, probably because successful cycles are correlated with hCG production). That does not make it a good thing, not by a long shot, but I suppose there is an up side.

800 also suggests a multiple and a strong viable pregnancy that will very likely make it to birth.

No way to tell for sure about the multiples until the scan.

It can last a few weeks, sometimes longer. Your doctor is declining to treat you, which suggests you might not have a severe case, so perhaps yours will not last so long. Just a wild guess.

Keep your doctor fully informed of everything and follow his/her instructions carefully. That means everything. You can insist on treatment. OHSS can be dangerous, occasionally even fatal. Not to scare you, but it's important that every OHSS patient takes it seriously.

Among other things, watch for difficulty in breathing. That fluid can build up around the lungs, too.

[Ghost]

By the way, let us know how it goes.

Cabergoline is only recently discovered as a treatment for OHSS.

[sara73]

Thank u soo much for the reply...just reading it made me feel better..
U r a blessing for all us ladies out here.

[KatieG]

Sara how are you feeling? I had OHSS and it was no fun. I ended up with the drain but my son is healthy and happy. Its very uncomfortable and I hope you feel better soon.