Ovarian hyperstimulation syndrome: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for:
Trouble breathing, chest pain, coughing blood, or fainting
Sudden severe abdominal or one-sided pelvic pain
Heavy vaginal bleeding with weakness or dizziness
A painful, swollen leg
New confusion, weakness, severe headache, or problems speaking
These symptoms may indicate severe fluid changes, ovarian torsion, internal bleeding, or a blood clot.
Do not drive yourself if you are faint, breathless, or in severe pain.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact your fertility clinic promptly if you develop new bloating, pelvic discomfort, nausea, vomiting, or noticeable weight gain after ovarian stimulation.
Seek same-day medical assessment if you have increasing abdominal swelling, repeated vomiting, worsening pain, rapid weight gain, dizziness, or much less urine than usual.
If you cannot reach the fertility clinic, use an urgent medical service and explain that you recently had ovarian stimulation.
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate when symptoms are mild, you can drink and pass urine normally, and symptoms are not getting worse.
Every sign above is quoted from the sofidex article on Ovarian hyperstimulation syndrome. If you are not sure, err upward — it is always reasonable to be checked.