OHSS Is The Biggest Risk Of IVF: What Every Woman NEEDS TO KNOW - Dr Lora Shahine

In this video, I delve deep into Ovarian Hyperstimulation Syndrome (OHSS), explaining its various aspects. We'll cover the differences between mild, moderate, and severe OHSS cases, exploring its causes and underlying physiology. Learn about the individuals most at risk of developing OHSS and the strategies for treating and preventing it, including protocol selection and alternative medications. Discover the innovative "Freeze All Cycle" approach and get insights into maintaining electrolyte balance and protein intake during treatment. Join me in unraveling the complexities of OHSS and its implications for fertility treatment and women's health. Don't forget to like, subscribe, and hit the notification bell for more informative content!
TERMS:::
ovarian hyperstimulation syndrome, ohss explained, ohss treatment strategies, ohss risk factors, ohss physiology, mild vs. moderate vs. severe ohss, ohss prevention methods, choosing ohss protocol, freeze all cycle for ohss, electrolyte balance in ohss, protein intake for ohss treatment, managing ohss symptoms, ovarian stimulation complications, ohss case study, ohss awareness, women's health and fertility issues, infertility treatment complications, reproductive health complications, fertility medication side effects, in-vitro fertilization (ivf) complications
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ABOUT : Lora Shahine, MD, is a double board certified reproductive endocrinologist and OBGYN currently practicing at Pacific NW Fertility in Seattle, WA. Originally from North Carolina, Dr. Shahine graduated with a Bachelor of Science in biology from Georgetown University in Washington, DC, and completed her training in medical school at Wake Forest University School of Medicine, residency in obstetrics and gynecology at the University of California at San Francisco, and fellowship in reproductive endocrinology and infertility at Stanford University.
As Clinical Assistant Professor at the University of Washington and Director of the Center of Recurrent Pregnancy Loss at Pacific NW Fertility, she is committed to providing excellence in patient care, teaching the next generation of women’s healthcare providers, and continuing research in the fields of fertility and recurrent miscarriage. She has published over 75 peer-reviewed research projects and is an active member of the American Society of Reproductive Medicine, Seattle Gynecology Society, and the Babyquest Fertility Grant organization. Dr. Shahine is an accomplished author including 'Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care' and best-selling book, 'Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss.'
Whether through her research, books, lectures, or active social media presense Dr. Shahine is passionate about educating on reproductive health and supporting the feritlity community.
DISCLAIMER: The content contained herein is provided for informational and/or entertainment purposes only and not intended as a substitute for advice provided by a healthcare professional. Use the provided information at your own risk. If you have or suspect that you have a medical problem, please contact your health care provider.
#OHSSInsights #FertilityCare #WomenHealthJourney
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Chapters
0:00 Intro
1:03 Four main topic video overview
1:28 #1 - What is OHSS?
3:27 Mild, Moderate, and Severe explained
4:30 Critical explained
4:43 #2 - OHSS causes, physiology
6:16 #3 - Who is at risk of OHSS?
8:56 #4 - Treatment
9:09 Treatment & Prevention
9:28 a - How is at risk of OHSS
9:33 b - Choosing a protocol
10:37 c - Other medications
18:39 d - Freeze all cycle
20:02 #4 Treatment of OHSS
21:05 Electrolytes & Protein
23:43 Closing thoughts
24:14 Outro

[@MeganM1992]

Thank you so much for all of your informative videos. As someone who wants to know all of the information and is starting IVF and who is at risk for OHSS, all of your videos have been helpful in preparing me and giving me really good questions to ask at the appointment when we were going over the plan. It reassured me to have my doctor bring up OHSS before I did and to see all of the ways she is planning around trying to avoid it, since I have PCOS and am at high risk for it. Again, thank you so much for providing this education and helping us feel empowered, even when going through infertility, where you feel like you have no control. THANK YOU!

[@mesidb15]

I am currently still suffering with severe OHSS. The fluid may have started to gonaway now. Was in hospitalnfor 1 week. Look like 5 monts pregnant still... It is absolutely awful. Don't wish it on my enemy. I can't believe how slowly you get better after this. And of course as the pregnancy is successful it is 10 times worse than normally. I am glad i found your video, but wish i would have done it before it all happened. I am 9 weeks shortly and still can't fo much, have pain, nausea, discomfort etc. I hope people will see this and understand their body and what's going on and make the decision of freeze all even if the doctor doesn't. ❤️

[@huney987]

Hope you get better and deliver and healthy baby ❤❤

[@aishalawal772]

Wow this was so cool, informative and interesting to watch. I am 24 year old, I had ivf done about couple months back due to Male factor infertility, and yes I did have moderate OHSS, It wasn’t fun!!! I was in PAIN! I knew I was at risk and I researched a lot before I started but I didn’t see any video that was this straight forward so I didn’t really understand it that much. I wish this video existed when I did my ivf, I would have voiced out a lot more than I did to the doctor. Thank you for this.

[@drlorashahine]

I’m so sorry you had a tough recovery - that you for your kind words!

[@deinjack]

I'm also at risk and very thankful for this video

[@MegaMadameM]

Excellent video! Very informative. I'm definitely going to bookmark this for future reference.

[@drlorashahine]

So happy it helped you!!

[@Mona1930]

Already on cabergoline 🙌 Great video, I was worried about this

[@drlorashahine]

So glad you’re ok!!!

[@SA-no4jr]

Thank you so much for detailed information.

[@drlorashahine]

My pleasure. Thank you for watching!

[@michaellomeli8096]

Have A Great Weekend Lora.

[@drlorashahine]

You too! Thanks for watching!

[@user-si1np5fi2p]

Thank you so much Lora. This is very informative

[@saige_jones]

Very helpful, thank you!

[@drlorashahine]

Glad it was helpful! Thank you so much for watching!

[@anniwuoha7375]

Thank you Dr. It was so helpful.

[@drlorashahine]

Thank you so much for watching 😊

[@luvfilmsmaking]

I had severe OHSS. I kept saying it's not going to happen to me. And it did. I don't wish it on anyone. I still remember it until this day.

[@Irina_M1989]

Hello., thank you for your educational videos. I would like to know if you experienced side effects from injections or any oral medications if they were prescribed? I have been postponing my first IVF after reading about the possible side effects.

[@daniellao]

Thank you, I love your videos. I feel like our clinic explains less than the minimal so your videos have been great source of guidance, info and comfort. I would like to understand better the different protocols available and implications (you talked about the antagonist protocol…) to have the information to make the best decision for us. Also we had “empty” follicles, what can I do to prevent this to happen on our next cycle? What can we ask our Dr?

[@drlorashahine]

These are excellent questions. I will work on some content to answer them. I very much appreciate your kind words.

[@mirazuhaili]

I diagnosed with OHSS before OPU. I just finish OPU procedure on Monday, after the procedure it hurt until night. On Tuesday i was completely fine. But on Wednesday & Thursday it started to hurt again. I ate the OHSS supplement daily. I drink gatorade drink too

[@hoaithuongnguyen1797]

I am definitely at high risk but I still don't know when the ohss symptoms will occur. Some say after the egg retrieval. Is it right? Thank you so much for your video

[@angelachiaro4887]

Just had my retrieval on the 1st. I was so bloated and uncomfortable (I looked 6 months pregnant) I was never given the option of a paracentesis. Will keep in mind if I need to do another retrieval. Thank you!

[@drlorashahine]

Hope you’re feeling better now!!!

[@olga_b344]

Love your channel! I heard anecdotal evidence that if u do one egg freezing cycle and then do the next cycle shortly after (eg. Maybe after a one month break) - it can lead to higher number eggs in the next cycle (because of “leftover hormones” so to speak). Is that true?

[@user-mi9lv1yd3m]

I was diagnosed with OHSS, has 56 oocytes retrieved and now awaiting transfer… I am currently waiting out a cycle before I transfer.

[@VroniB]

Hello 🫶 I am currently in a long protocol with decapeptyl. No idea why? I have got prothrombin mutation therefore the pill wasn‘t possible. Do you think thats why? I have got a high AFC which is 29 and AMH of 4,2. I am sooo scared for getting OHSS! Do you think Cabergoline could help? Read a lot of studies about it possibly helping not to develop OHSS. Please help I can‘t get sleep anymore i am so scared😭

[@giovyincella507]

Thank you for sharing this. It's a very interesting video. Could OHSS happen a month after the egg retrieval?

[@drlorashahine]

Not that I have seen - it’s bloating and fluid shifts within the stimulation cycle and around retrieval

[@Mikayela4444]

The AMH over five is that when you’re on your period or off? I know that can change during your cycle quite a bit for me I guess I have 5.0 on period and 8.040 not on my period. Have multiple risk factors for it so definitely good information to have!

[@nadiatheprettyflamingo6528]

This is so strange 😭 I am almost 40, very low AMH, no pcos and I got OHSS had to do a freeze all cycle and now I’m on blood thinning injections. I got 15 eggs in retrieval which was surprising. But I feel absolutely fine!

[@drlorashahine]

Thank you for sharing your experience with us ❤️❤️

[@namsb5421]

Hi On monday hystroscopy procedure done and cervical polyps removed but I didn't bleed that day till now. Their is no spotting. Why that so. Is this normal. Is it good not to have spotting after hystroscopy. Please reply..

[@drlorashahine]

This is a great question. I would advise you to consult your medical provider, as I can't give medical advice to personal situations on social media. I have a lot of content on the subject on this channel, website drlorashahine.com, KZbin and Instagram account @drlorashahine that are great sources for you. Thank you for watching.

[@namsb5421]

@@drlorashahine Thank u so much. My doctor told me that is normal not having spotting.

[@nehachauhan5833]

I had my egg retrieval before 10 days and today my 5th days of period am suffering badly with heaving bleeding feeling too much weekness in my body , constipation issue also my doc is saying this is normal giving me excuse but i can feel my body pain how badly affected my whole body and mental health

[@bryc5926]

Could you use cayenne pepper instead of aspirin as a blood thinner?

[@drlorashahine]

No you can't. Thank you for watching!

[@Lifeisprecious9]

I did my egg retrieval on the 8th of March Friday and I am still bloated. The clinic did a fresh embryo transfer for me, I don’t understand why. I am 32yrs old 54kgs AMH: 3.6 had around 15follicles retrieved around 5eggs. It’s been 9 days and I still feel bloated and full . When will I feel better. I drank a lot of water ate good. Now started electrolytes and protein rich diet . Had to go to emergency after my embryo transfer was super bloated, full tight stomach can’t sleep properly shortness of breath . My abdominal cavity has fluid , chest X-Ray looks good . Sodium levels were little low. No vomiting or nausea. Eating in small proportion. Trying to walk for 20mins daily and sit upright. When I sleep I feel discomfort. Just want to feel better soon. Please advice

[@Katya.s]

Hi there! What ended up happening?

[@kzfingerprint]

Do you have to have nausea? I had my egg retrieval today, ovaries have been really sore for the week prior (similar feeling to your bladder being so full you feel like you're going to bust). I had 25 follicles retrieved. Ovaries are still very sore, i have to walk slowly, hurts to move, I'm not urinating much, 34 years old, high AMH but it's under 5 - I'm not nauseous though, should i be worried or am i okay?

[@drlorashahine]

Thank you for watching ❤ ️ I'd advise you to ask your medical provider for answers to your personal situation, as I can't give personal medical advice on social media. I hope my content on my website drlorashahine.com can help - there you can find links to my books at amazon.com, KZbin channel, Baby or Bust Fertility podcast, blog, Instagram, Tiktok and more! Best wishes ❤️🤞🍍

[@Katya.s]

Hi there! What ended up happening?

[@kzfingerprint]

@@Katya.s I ended up feeling better days later - so, I assume this was a relatively normal response.

[@ug8179]

Dr. Shahine I just had egg retrieval and I was told that I had a bunch of empty follicles I was put on OHSS protocol meds so I’m grateful for that. I wonder if this could result in empty follicles. I triggered lupron and 1/4 of Ovidrel Thank you ❤

[@user-mi9lv1yd3m]

I was diagnosed with OHSS, has 56 oocytes retrieved and now awaiting transfer… I am currently waiting out a cycle before I transfer.

[@Hindustani_Joda]

How many egg fertilised for you?