Because hormone stimulation makes the ovaries are work overtime, some common side effects can include weight gain, abdominal discomfort, bloating and irritability. These symptoms will, most likely, increase in intensity the final day or two prior to your retrieval.

An uncommon, but potential side effect you should be aware of is OHSS (Ovarian Hyperstimulation Syndrome).

According to the ASRM: “The keys to preventing OHSS are experience with ovulation induction therapy and recognition of risk factors for OHSS. Ovulation induction regimens should be highly individualized, carefully monitored, and use the minimum dose and duration of gonadotropin therapy necessary to achieve the therapeutic goal.”

This assessment hits home the importance of working with a quality clinic who will monitor your stimulation protocol carefully. If you are a likely candidate for OHSS, your doctor may decide to do a lupron instead of a hcG trigger. Unlike the hcG trigger which lasts in your system for 7-10 days, Lupron is a shorter acting medication. Since you are exposed to a medication that is shorter acting and won’t be stimulating your ovaries even after the egg retrieval, OHSS may be prevented.

Drinks lots of fluids. In particular, fluids with electrolytes like Gatorade and coconut water. In addition, there are a number of medications (such as IV Hespan and IV Albumin) that can be given on the day of the egg retrieval that may prevent OHSS.

If you think you may have OHSS, contact your clinic immediately. Although severe cases are rare, if you are unable to reach your clinic go directly to an emergency room. Do NOT self treat.