Ovarian hyperstimulation syndrome (OHSS) is a potential complication of ovarian stimulation during fertility treatments such as in vitro fertilization (IVF). It is characterized by enlarged ovaries and fluid retention in the abdomen and chest, which can cause discomfort and in severe cases, serious complications.

To mitigate the risk of OHSS, tailored protocols and careful monitoring are implemented. Some strategies to prevent or reduce the occurrence of OHSS include:

1. Individualized Stimulation Protocols: Fertility clinics customize ovarian stimulation protocols based on a woman’s age, ovarian reserve, and other relevant factors. By adjusting the dosage and type of medications used, the risk of overstimulation can be minimized.

2. Monitoring: Close monitoring of ovarian response is crucial during fertility treatments. Ultrasound scans and hormone level checks help to assess the follicular growth and hormone levels, allowing for adjustments in medication dosage if needed.

3. Triggering Ovulation Carefully: Triggering final egg maturation with human chorionic gonadotropin (hCG) should be done cautiously to avoid overstimulation. In some cases, alternative triggering methods or a freeze-all cycle approach may be recommended.

4. Freeze-All Cycles: In cases where there is a high risk of OHSS, all embryos may be frozen and transferred in a subsequent cycle. This approach allows time for the body to recover from the ovarian stimulation.

5. Fluid Management: Ensuring adequate hydration and electroly