Skip to main content

Komplikationen in der Sterilitätstherapie und -diagnostik

  • Chapter

Zusammenfassung

Komplikationen in der Sterilitätsdiagnostik und -therapie gelten gemeinhin als äußerst schwerwiegend, da die zu Behandelnden mit Kinderwunsch landläufig nicht als „Kranke“ und eine invasive Diagnostik als nicht erforderlich betrachtet werden. Bei den Komplikationen in der Diagnostik handelt es sich um Organverletzungen mit Blutungs- und Infektionskomplikationen, aszendierende Infektionen und selten um Spätkomplikationen wie Ileus und Inkarzerationen.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Anderson K, Haxton M, Banham S, Black W (1988) Unilateral effusion as the presenting feature of ovarian hyperstimulation syndrome. Scott Med J 33: 338–339

    PubMed  CAS  Google Scholar 

  • Balasch J, Carmona F, Llach J, Arroyo V, Jove I, Vanrell JA (1990) Severe ovarian hyperstimulation syndrome: role of peripheral vasoldilatation. Human Reprod 5 /3: 348–513.

    CAS  Google Scholar 

  • Balasch J, Arroyo V, Carmona F, Llach J, Jimenez W, Paare JC, Vanrell JA (1991) Fertil Steril 56 /6: 1077–1083

    PubMed  CAS  Google Scholar 

  • Benifla JL, Conrad J, Naouri M et al. (1994) Ovarian hyperstimulation syndrome and thrombosis. Apropos of a case of thrombosis of the internal jugular vein. J Gynecol Ob-stet Biol Reprod Paris 23: 778–783

    CAS  Google Scholar 

  • Ben-Refael Z, Orvieto R (1996) The Role of Interleukin-2 in ovarian hyperstimulation syndrome. IXth world congress on human reproduction. Philadelphia, Abstr 271

    Google Scholar 

  • Bider D, Menashe Y, Oelsner G, Serr DM, Mashiach S, Ben-Rafael Z (1989) Ovarian hyper-stimulation syndrome due to exogenous gonadotropin administration. Acta Obstet Gynecol Scand 68 /6: 511–514

    PubMed  CAS  Google Scholar 

  • Brinsden PR, Wada I, Tan SL, Balen A, Jacobs HS (1995) Diagnosis prevention and management of ovarian hyperstimulation syndrome. Br J Obstet Gynaecol 102 /10: 767–772

    Article  PubMed  CAS  Google Scholar 

  • Bung P, Plath H, Pried G, Krebs D (1996) Ileus in der Spätschwangerschaft–Folge der Follikelpunktion im Rahmen der In-vitro-Fertilisation? Geburtshilfe Freuenheilkd 56: 252–253

    Article  CAS  Google Scholar 

  • Cornwalls CM, Skinner SL, Nayudu PL, Lopata A, Thatcher RL, Yeung SP, Witworth JA (1990) Human Reprod 5 /4: 413–417

    Google Scholar 

  • Crouet H, Herlicoviez M, Rouffet P, Mandard JC, Levy G (1985) Luteinized cystic hyperplasia of the ovaries in normal pregnancy. Diagnostic and nosological problems. J Gynecol Obstet Reprod Paris 14 /5: 613–618

    CAS  Google Scholar 

  • Delbaere A, Bergman PJ, Grvy-Decoster C, Staroukine M, Englert Y (1994) Angiotensin II immunoreactivity is elevated in ascites during severe ovarian hyperstimulation syndrome: implications for pathophysiology and clinical management. Fertil Steril 62 /4: 731–737

    PubMed  CAS  Google Scholar 

  • Derkx FH, Schalekamp MA (1988) Human prorenin: pathophysiology and clinical implication. Clin Exp Hypertens 10 /6: 1213–1225

    CAS  Google Scholar 

  • Dicker D, Ashkenazi J, Feldberg D, Levy T, Dekel A, Ben-Rafael Z (1993) Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilisation and embryo transfer. Fertil Steril 59 /6: 1313–1315

    PubMed  CAS  Google Scholar 

  • Fakih H, Bello S (1992) Ovarian cyst aspiration: a therapeutic approach to ovarian hyper-stimulation syndrome. Fertil Steril 58 /4: 829–832

    PubMed  CAS  Google Scholar 

  • Fukaya T, Chida S, Terada Y, Funayama Y, Yajima A (1994) Treatment of severe ovarian hyperstimulation syndrome by ultrafiltration and reinfusion of ascitic fluid. Fertil Steril 61/ 3: 561–564

    Google Scholar 

  • Goldschmit R, Elchalal U, Zalel Y, Barash A, Borenstein R, Insler V (1993) Hypovolemic shock as a presenting sign of severe ovarian hyperstimulation syndrome following in vitro fertilisation and embryo transfer (IVF-ET). Assist Reprod Gene 10 /7: 480–482

    Article  Google Scholar 

  • Goldsman MP, Pedram A, Dominguez CE, Ciuffardi I, Levin E, Ash RH (1995) Increased capillary permeability induced by human follicular fluid: a hypothesis for an ovarian origin of the hyperstimulation syndrome. Fertil Steril 63 /2: 268–272

    PubMed  CAS  Google Scholar 

  • Goshen R, Lavy Y, Hochner-Celnikier H, Milwidsky A (1992) Third trimester torsion of persistent ovarian cyst following ovarian hyperstimulation–an unusual cause of preterm labor. Gynecol Obstet Invest 33 /4: 244–245

    Article  PubMed  CAS  Google Scholar 

  • Granat M, Evron S, Navot D (1981) Pregnancy in heterotopic fallopian tube and unilateral ovarian hyperstimulation. Acta Obstet Gynecol Scand 60 /2: 215–217

    PubMed  CAS  Google Scholar 

  • Hsieh M, Tsao TC, Cheng PJ (1994) Ovarian hyperstimulation syndrome with minimal ascites and massive pleural effusion: report of a case. J Formos Med Assoc 93 /10: 882–884

    PubMed  CAS  Google Scholar 

  • Hulinsky I, Smith HC (1995) External jugular vein thrombosis: a complication of the ovarian hyperstimulation syndrome. Med J Aus 162 /2: 102–103

    Google Scholar 

  • Inbar OJ, Levran D, Mashiach S, Dor J (1994) Ischemic stroke due to induction of ovulation with clomiphene citrate and menotropins without evidence of ovarian hyperstimulation syndrome. Fertil Steril 62 /5: 1075–1076

    PubMed  CAS  Google Scholar 

  • Iwabe T, Harada T, Tuzaki T, Terakawa N (1994) Laparoscopic unwinding of adnexal torsion caused by ovarian hyperstimulation. Human Reprod 9 /12: 2350–2352

    CAS  Google Scholar 

  • Kaaja R, Siegberg R, Tiitinen A, Koskomies A (1989) Severe ovarian hyperstimulation syndrome and deep venous thrombosis. Lancet 2 /8670: 1043

    Article  PubMed  CAS  Google Scholar 

  • Katz Z, Lancet M, Borenstein R, Chemke J (1984) Absence of teratogenicity of indomethacin in ovarian hyperstimulation syndrome. Int J Fertil 29 /3: 186–188

    PubMed  CAS  Google Scholar 

  • Kligman I, Noyes N, Benadiva CA, Rosenwaks Z (1995) Massive deep vein thrombosis in a patient with antithrombin III deficiency undergoing ovarian stimulation for in vitro fertilisation. Fertil Steril 63 /3: 673–676

    PubMed  CAS  Google Scholar 

  • Kodama H, Fukuda J, Matsui T, Shimizu Y, Tanaka T (1995) Characteristics of blood hemostatic markers in a patient with ovarian hyperstimulation syndrome (OHSS) who actually developed thromboembolism. Fertil Steril 64 /6: 1207–1209

    PubMed  CAS  Google Scholar 

  • Lanzone A, Fulghesu AM, Villa P et al. (1994) Gonadotropin-releasing hormone agonist versus human chorionic gonadotropin as a trigger of ovulation in ovarian disease gonadotropin hyperstimulated cycles. Fertil Steril 62 /1: 35–41

    PubMed  CAS  Google Scholar 

  • Lindner C, Braendle W, Kohler S, Bettendorf G (1989) Zunahme des Ovariellen Überstimulationssyndroms nach GnRH-analoga/HMG Therapie. Geburtshilfe Frauenheilkd 49/ 4: 337–344

    Article  Google Scholar 

  • Lindner C, Braendle W, Kohler S, Bettendorf G (1989) Vermehrte Häufigkeit des Ovarellen Überstimulationssyndromes nach GnRH-Analoga/HMG Therapie. Geburtshilfe Frauenheilkd 49 /4: 337–344

    Article  PubMed  CAS  Google Scholar 

  • Lipitz S, Ben-Rafael Z, Bider D, Shalev J, Mashiach S (1991) Quintuplet pregnancy and third degree ovarian hyperstimulation despite withholding human chorionic gonadotropin. Hum Reprod 6 /10: 1478–1479

    PubMed  CAS  Google Scholar 

  • Mashiach S, Bider D, Moran O, Goldenberg M, Ben-Rafael Z (1990) Adnexal torsion of hyperstimulated ovaries in prenancies after gonadotropin therapy. Fertil Steril 53 /1: 76–80

    PubMed  CAS  Google Scholar 

  • McClure N, Leya J, Radwanska E, Rawlins R, Haning RV Jr (1992) Luteal phase support and severe ovarian hyperstimulation syndrome. Hum Reprod 7 /6: 758–764

    PubMed  CAS  Google Scholar 

  • Mills MS, Eddowes HA, Fox R, Wardle G (1992) Subclavian vein thrombosis: a late complication of ovarian hyperstimulation syndrome: Hum Reprod 7 /3: 370–371

    PubMed  CAS  Google Scholar 

  • Moran L, Ortega E, Fiorelli S, Murillo A, Zarate A (1992) Treatment and prevention of the ovarian hyperstimulation syndrome. Ginecol Obstet Mex 60: 4–7

    PubMed  CAS  Google Scholar 

  • Morgan H, Paredes RA, Lachelin GC (1983) Severe ovarian hyperstimulation after clomiphene citrate in a hypothyroid patient. Br J Obstet Gynaecol 90 /1: 977–982

    Article  PubMed  CAS  Google Scholar 

  • Morris RS, Wong IL, Kirkma E, Gentschein E, Paulson RJ (1995) Inhibition of ovarian derived prorenin to angiotensin cascade in the treatment of ovarian hyperstimulation syndrome. Hum Reprod 10 /6: 1355–1358

    Article  PubMed  CAS  Google Scholar 

  • Morris RS, Miller C, Jacobs L, Miller K (1995) Conservative management of ovarian hyper-stimulation syndrome. J Reprod Med 40 /10: 711–714

    PubMed  CAS  Google Scholar 

  • Mukherjee T, Copperman AB, Sandler B, Bustillo M, Grunfeld L (1995) Severe ovarian hyperstimulation despite prophylactic albumin at the time of oocyte retrieval for in-vitro fertilisation and embryo transfer. Fertil Steril 64 /3: 641–643

    PubMed  CAS  Google Scholar 

  • Navot D, Relou A, Birkenfeld A, Rabinowitz R, Brzezinski A, Margalioth EJ (1988) Risk factors and prognostic variables in the ovarian hyperstimulation syndrome. Am J Obstet Gynecol 159 /1: 210–217

    PubMed  CAS  Google Scholar 

  • Navot D, Bergh PA, Laufer N (1992) Ovarian hyperstimulation syndrome in novel reproductive technologies: prevention and treatment. Fertil Steril 58 /2: 249–261

    PubMed  CAS  Google Scholar 

  • Neulen J, Dvorak HF, Yeo KT, Breckwoldt M (1996) VEGF/VPF-Gene expression and production by human granulosa cells: clinical implication. IXth World congress on human reproduction, Philadelphia, Abstr 287

    Google Scholar 

  • Ng E, Leader A, Claman P, Domingo M, Spence JE (1995) Intravenous albumin does not prevent the development of severe ovarian hyperstimulation in an in-vitro programm. Human Reprod 10 /4: 807–810

    CAS  Google Scholar 

  • Perez-Ocharan M, Serviere-Zaragoza C, Barron-Vallejo J, Alvarado-Duran A, Kably-Ambe A (1995) Pyo-ovary as a complication of transvaginal follicular aspiration. Ginecol Obstet Mex 63: 102–103

    PubMed  CAS  Google Scholar 

  • Pryor RA, Wiczyk HP, O’Shea DL (1995) Adnexal infarcation after conservative surgical management of torsion of hyperstimulated ovary. Fertil Steril 63/6: 13 344–13 346

    Google Scholar 

  • Robertson D, Selleck K, Suikkari AM, Hurley V, Moohan J, Healy D (1995) Urinary vascular endothelial growth factor concentration in women undergoing gonadotropin treatment. Human Reprod 10 /9: 1478–2482

    Google Scholar 

  • Rosenberg ME, Mckenzie JK, Mckenzie IM, Junaid A, Tagatz GE (1994) Increased ascetic fluid protein in the ovarian hyperstimulation syndrome. Am J Kidney Dis 23 /3: 427–429

    PubMed  CAS  Google Scholar 

  • Rotmensch S, Scommegna A (1989) Spontaneous ovarian hyperstimulation syndrome associated with hypothyroidism. Am Obstet Gynecol 160 /5: 1220–1222

    CAS  Google Scholar 

  • Schenker JG, Weinstein D (1978) The ovarian hyperstimulation syndrome: a current survey. Fertil Steril 30 /3: 255–268

    PubMed  CAS  Google Scholar 

  • Shalev E, Peleg D (1993) Laparoscopic treatment of adnexal torsion. Surg Gynecol Obstet 176 /5: 448–450

    PubMed  CAS  Google Scholar 

  • Shalev E, Giladi Y, Matilsky M, Ben-Amin M (1995) Decreased incidence of severe ovarian hyperstimulation syndrome in high risk in-vitro fertilisation patients receiving intravenous albumin: a prospective study. Hum Reprod 10 /6: 1373–1376

    Article  PubMed  CAS  Google Scholar 

  • Shalex E, Geslevich Y, Ben-Ami M (1994) Induction of pre-ovulatory luteinizing hormone surge by gonadotropin-releasing hormone agonist for women at risk for developing the ovarian hyperstimulation syndrome. Reprod 9 /3: 417–419

    Google Scholar 

  • Sher G, Salem R, Reinman M, Dodge S, Zouves C, Knutzen V (1993) Eliminating the risk of life-endangering complications following overstimulation with menotropin fertility agents: a report on women undergoing in vitro fertilisation and embryo transfer. Obstet Gynecol 81 /6: 1009–1011

    PubMed  CAS  Google Scholar 

  • Shristav P, Nadkarni P, Craft I (1994) Day care management of severe ovarian hyperstimulation syndrome avoids hospitalisation and morbidity. Hum Reprod 9 /5: 812–814

    Google Scholar 

  • Shweiki D, Itin A, Gitay-Goren H, Keshet E (1993) Patterns of expression of vascular endothelial growth factor (VEGF) and VEGF receptors in mice suggest a role in hormonally regulated angiogenesis. J Clin Invest 91 /5: 2235–2243

    Article  PubMed  CAS  Google Scholar 

  • Spendiani G, Mazzarella V, Tozzo C, Elli M, Casciani CU (1994) Autologous protein reinfusion in severe ovary hyperstimulation syndrome. J Am Coll Surg 179 /1: 25–28

    Google Scholar 

  • Smitz J, Camus M, Devroey P, Erard P, Wisanto A, Van Steirteghem AC (1990) Incidence of severe ovarian hyperstimulation syndrome after GnRH agonist/HMG superovulation for in-vitro fertilisation. Hum Reprod 5 /8: 933–939

    PubMed  CAS  Google Scholar 

  • Tan SL, Balen A, El-Hussein E, Campbell S, Jacobs HS (1992) The administration of glucocorticoids for the prevention of ovarian hyperstimulation syndrome in vitro fertilisation: a prospective randomised study. Fertil Steril 58 /2: 378–383

    PubMed  CAS  Google Scholar 

  • Tekay A, Martikainen H, Jouppila P (1995) Doppler patterns of the ovarian and uterine blood circulation in ovarian hyperstimulation syndrome. Ultrasound Obstet Gynecol 6/ 1: 50–53

    Article  Google Scholar 

  • Thill B, Rathat C, Akula A, Blaise M, Pourriat H (1994) Thromboembolic accidents in in-vitro-fertilisation. Ann Fr Anesth Reanim 13 /5: 726–729

    Article  PubMed  CAS  Google Scholar 

  • Tollan A, Holst N, Forsdahl F, Fasnes HO, Oian P, Maltau JM (1990) Transcapillary Fluid dynamics during ovarian stimulation for in vitro fertilisation. Am J Obstet Gynecol 162/ 2: 554–558

    Google Scholar 

  • Tulandi T, McInnes RA, Arronet GH (1984) Ovarian hyperstimulation syndrome following ovulation induction with human menopausal gonadotropin. Int J Fertil 29 /2: 113–117

    PubMed  CAS  Google Scholar 

  • Ugoscai G, Szollosi J, Godo G (1990) Simultaneous occurrence of bilateral extrauterine pregnancy and ovarian hyperstimulation syndrome following artificial heterologous insemination. Ory Hetil 131 /7: 363–365

    Google Scholar 

  • Van der Merwe JP, Michell WL, Kruger TF (1988) Severe ovarian hyperstimulation after follicular aspiration. S Afr Med J 73 /7: 426–427

    PubMed  Google Scholar 

  • Van Hoorde GJ, Verhoeff A, Zeilmaker G (1992) Perforated appendicitis following transvaginal oocyte retrieval for in-vitro fertilisation and embryo transfer. Hum Reprod 7 /6: 850–851

    PubMed  Google Scholar 

  • Vauthier-Brouzes D, Lefebre G, Seebacher J, Wechsler B (1993) Internal jugular vein thrombosis during pregnancy after ovarian hyperstimulation for in vitro fertilisation. Contracept Fertil Sex 21 /1: 33–35

    PubMed  CAS  Google Scholar 

  • Wada I, Matson PL, Troup SA, Morroll D, Hunt I, Liebermann BA (1993) Does elective cryopreservation of all embryos from women at risk of ovarian hyperstimulation syndrome reduce in incidence of the condition. Br J Obstet Gynaecol 100 /3: 265–269

    Article  PubMed  CAS  Google Scholar 

  • Wada I, Matson PL, Macnamae MC, Brinsden PR, Lieberman BA (1994) High ovarian response in Yoruba African women during ovulation induction of assisted conception. Hum Reprod 9 /6: 1077–1080

    PubMed  CAS  Google Scholar 

  • Waterstone JJ, Summers BA, Hoskins MC, Berry J, Parsons JH (1992) Ovarian hyperstimulation syndrome and deep cerebral venous thrombosis. Br J Obstet Gynaecol 99 /5: 439–440

    Article  PubMed  CAS  Google Scholar 

  • Willms AB, Schlund JF, Meyer WR (1995) Endovaginal Doppler ultrasound in ovarian torsion: a case series. Ultrasound Obstet Gynecol 5 /2: 129–132

    Article  PubMed  CAS  Google Scholar 

  • Yarali H, Fleige-Zahrada BG, Yuen BH, McComb (1993) The ascites in the ovarian hyper-stimulation syndrome does not originate from the ovary. Fertil-Steril 59 /3: 657–661

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bauer, O., Ludwig, M., Diedrich, K. (1998). Komplikationen in der Sterilitätstherapie und -diagnostik. In: Diedrich, K. (eds) Weibliche Sterilität. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58738-2_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-58738-2_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63704-9

  • Online ISBN: 978-3-642-58738-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics