The study aims to compare the novel method of GnRH antagonist administration in the luteal phase versus conventional treatment in IVF patients who develop severe early ovarian hyperstimulation syndrome and have all their embryos cryopreserved.
GnRH antagonist administration in the luteal phase has been proposed as a strategy for the treatment of established severe early OHSS, causing rapid regression of the syndrome on an outpatient basis. The approach has been described as tertiary OHSS prevention, thereby complementing the primary prevention (GnRH antagonist protocol) and secondary prevention (GnRH agonist trigger) that constitute the OHSS-free clinic concept. No randomized controlled trials (RCT) exist to date comparing luteal GnRH antagonist administration versus conventional treatment. The aim of the present study is to compare the novel method of GnRH antagonist administration in the luteal phase versus conventional treatment with primary outcome time to severe OHSS regression, in IVF patients who develop severe early OHSS and have all their embryos cryopreserved.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
0.25 mg GnRH antagonist cetrorelix will be administered once daily for 4 days, starting on the day of severe early OHSS diagnosis
intravenous albumin administration, paracentesis of ascitic fluid, correction of electrolyte imbalance and intravascular volume
Eugonia Unit of Assisted Reproduction
Athens, Greece
Time to severe OHSS regression
Time frame: 2- 21 days after severe OHSS diagnosis
Need for patient hospitalization
Time frame: 2- 21 days after severe OHSS diagnosis
Hematocrit levels
Time frame: 8 days after severe early OHSS diagnosis
White blood cells
Time frame: 8 days after severe early OHSS diagnosis
Diameter of ovaries
Time frame: 8 days after severe early OHSS diagnosis
Quantity of ascites
Time frame: 8 days after severe early OHSS diagnosis
Estradiol levels
Time frame: 8 days after severe early OHSS diagnosis
Progesterone levels
Time frame: 8 days after severe early OHSS diagnosis
Serum levels of vascular endothelial growth factor (VEGF)
Time frame: 8 days after severe early OHSS diagnosis
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