Ghost/Anyone- Mild OHSS that hasn't really returned

[Klm]

I had my ER on 11/29. 11 eggs, 9 mature, 4 fertilized with ICSI. We had a 5 day transfer on 12/4 with two good looking blasts and the other two made it to freeze. I recently had a labroscopy and was all cleaned out with dye. We felt pretty good about our chances of implantation. A day and a half after egg retrieval the normal abdominal pain got way worse. We went to the doctor and he said I had mild OHSS, huge ovaries, but not much excess fluid. He just said to take it majorly easy. After a few days the symptoms got much much better and now all I have is a little cramping. He led me to believe that if I'm pregnant I will feel the OHSS for 6 weeks. Websites I've read also led me to believe I should be feeling it again in full force around now if I am indeed pregnant. I understand the trigger shot of HCG was what led to the mild OHSS and that if I'm pregnant HCG will build up again and make me feel like that. Or is it possible that the main reason for my pain was my huge ovaries and that those are shrinking down? Or if I am pregnant would the ovaries stay huge for awhile? I only have a little longer to wait, but I wanted to know your opinion. I know you can't really predict. It's weird that I am wanting my OHSS to return, but if it means pregnancy then I do! Thanks in advance for any insights.

[Ghost]

I had my ER on 11/29. 11 eggs, 9 mature, 4 fertilized with ICSI. We had a 5 day transfer on 12/4 with two good looking blasts and the other two made it to freeze. I recently had a labroscopy and was all cleaned out with dye. We felt pretty good about our chances of implantation. A day and a half after egg retrieval the normal abdominal pain got way worse. We went to the doctor and he said I had mild OHSS, huge ovaries, but not much excess fluid. He just said to take it majorly easy. After a few days the symptoms got much much better and now all I have is a little cramping. He led me to believe that if I'm pregnant I will feel the OHSS for 6 weeks. Websites I've read also led me to believe I should be feeling it again in full force around now if I am indeed pregnant. I understand the trigger shot of HCG was what led to the mild OHSS and that if I'm pregnant HCG will build up again and make me feel like that. Or is it possible that the main reason for my pain was my huge ovaries and that those are shrinking down? Or if I am pregnant would the ovaries stay huge for awhile? I only have a little longer to wait, but I wanted to know your opinion. I know you can't really predict. It's weird that I am wanting my OHSS to return, but if it means pregnancy then I do! Thanks in advance for any insights.

Sounds like you know more than your doctor about the pathophysiology of OHSS.

I suspect your OHSS was not what my clinic would diagnose as OHSS. Sounds like you merely had enlarged, sore ovaries. That's part of the old definitions of OHSS, but is not part of a truly useful definition. Under the old definition, almost every IVF patient gets "OHSS". A useful definition focuses more on the accumulation of abdominal fluid, and you had little of that.

If your embryos are implanting, it's possible you will get late-onset OHSS from the hCG they will produce. But since you had little or no true early-onset OHSS, I suspect you will have little or none with pregnancy. If you do get it, you'll know it by early next week. But I suspect you won't. I think you'll be like most others and need a pregnancy test, not OHSS symptoms, to identify your pregnancy. That's a good thing. A very good thing.

Follow all of your doctor's instructions and keep him fully informed. Good luck with the implantation.

[Klm]

Thank you, ghost, for your reply. That makes me feel better. I will stop wishing for pain now!!