What are my risks related to in vitro fertilization?
The risks may be divided into various categories: • The risks related to ovulation induction (the use of fertility drugs). • The risks related to the surgical retrieval of eggs. • The subsequent risk of pregnancy – specifically of multiple pregnancy. One of the commonest serious side effects from using fertility drugs is a condition known as ovarian hyperstimulation syndrome (OHSS). Ovarian hyperstimulation syndrome becomes a risk in women who develop more than 20 follicles in response to the fertility drugs. In these circumstances the blood estrogen levels are often very high, and this combination causes OHSS. It is not a very well understood condition, however, this combination of events tends to lead to a metabolic imbalance which increases the risk of thrombosis, as well as having an effect on body tissue permeability, which results in collection of fluids in the abdomen and chest. The best form of management is prevention. Women at particularly increased risk for this condition ar