Ovarian Hyperstimulation secondary to clomiphene citrate resulting in ovarian torsion: A rare report
International Journal of Surgery Case Reports,
Journal Year:
2025,
Volume and Issue:
129, P. 111111 - 111111
Published: March 5, 2025
Ovarian
hyperstimulation
syndrome
(OHSS)
is
a
potentially
severe
complication
of
ovulation
induction.
Although
less
common
than
with
gonadotropin
treatment,
OHSS
can
occur
secondary
to
an
excessive
dose
clomiphene
citrate,
first-line
induction
agent.
A
serious
ovarian
torsion,
which
demands
prompt
diagnosis
and
intervention
prevent
permanent
damage.
This
case
report
highlights
rare
subsequent
torsion
following
citrate
treatment.
24-year-old
woman
primary
infertility
developed
after
receiving
(100
mg
twice
daily,
D2-D16).
Her
initial
symptoms
included
vomiting
abdominal
pain.
Ultrasound
examination
revealed
enlarged
left
ovary
(100x65x60mm)
multiple
follicles
pelvic
effusion.
Despite
conservative
management,
the
patient
returned
four
days
post-discharge
worsening
symptoms.
Emergency
laparoscopy
vascular
congestion
successful
detorsion
restored
normal
blood
flow.
this
illustrates
complicated
by
citrate.
The
patient's
presentation
ultrasound
findings
were
indicative
OHSS,
despite
progression
required
surgical
intervention.
restoration
flow
underscore
importance
timely
management
irreversible
damage,
regardless
agent
used.
generally
considered
safer
gonadotropins
for
induction,
it
still
induce
leading
complications
such
as
particularly
if
given
in
overdosage.
emphasizes
critical
need
vigilant
monitoring
cases
preserve
function,
Language: Английский
Morphometric Blastocyst Assessment: A Retrospective Study Examining the Relationship Between Blastocyst Diameter and Area and Pregnancy Outcomes in Assisted Reproduction Technology Cycles
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(8), P. 2827 - 2827
Published: April 19, 2025
Objective:
In
assisted
reproductive
technology
(ART),
achieving
a
successful
pregnancy
requires
optimizing
an
embryo
culture
and
selecting
the
single
with
highest
implantation
potential,
capable
of
resulting
in
healthy
pregnancy.
The
primary
goal
this
study
was
to
determine
correlation
between
blastocyst
area
diameter
outcomes
ART
treatments.
Methods:
study,
were
measured
whether
these
morphometric
features
could
predict
couples
undergoing
ICSI.
This
is
retrospective
trial
analyzing
665
patients
who
underwent
cycle
transfer
on
day
5.
Results:
Both
assessed
significantly
associated
ongoing
outcomes.
Our
results
showed
that
rate
(IR)
clinical
(CPR)
higher
≥
25,000
µm2
compared
<25,000
(IR:
69.8%
versus
47.9%,
p
<
0.001;
CPR:
65.5%
45.9%
0.001).
Additionally,
170
µm
resulted
IR
CPR
embryos
68.8%
36.6%,
66.3
35.7%,
Conclusions:
Blastocyst
variables,
being
objective
measurable,
are
not
subject
intra-operator
variability
may
serve
as
promising
predictors
viability
success.
These
assessments
assist
embryologists
potential
from
cohort,
well
identifying
those
reduced
chance
generating
Language: Английский