OHSS
Conditions
Keywords
OHSS, Infertility, Cabergoline, Calcium gluconate, IVF-ET
Brief summary
The aim of this study is to compare the efficacy of calcium gluconate infusion versus cabergoline in the prevention of ovarian hyperstimulation syndrome (OHSS) in patients pretreated with GnRH agonist long protocol who are at high risk for OHSS.
Detailed description
Ovarian hyperstimulation syndrome (OHSS) is a serious complication of assisted reproduction. Previous studies revealed that calcium gluconate infusion reduced the risk of OHSS. Other studies revealed that cabergoline (potent dopamine receptor agonist on D2 receptors)was effective in preventing OHSS. The aim of this study is to compare the efficacy of calcium gluconate infusion versus cabergoline in the prevention of ovarian hyperstimulation syndrome (OHSS) in patients pretreated with GnRH agonist long protocol who are at high risk for OHSS.
Interventions
Cabergoline (Dostinex; Pfizer, Italy) at a daily dose of 0.5 mg is administered orally at bed time for 8 days starting on the day of HCG administration
Intravenous 10% calcium gluconate, 10 mL in 200 mL of physiologic saline on the day of ovum pickup, day 1, day 2, and day 3 after ovum pickup. Intravenous infusion will be performed within 30 minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who are stimulated using the long luteal GnRH agonist protocol and at high risk for developing OHSS \[have more than 18 follicles (\> 11mm) and serum estradiol ≥ 3000 pg/ml on the day of HCG administration\].
Exclusion criteria
* Fibrosis of lung * Swelling or inflammation around the heart or lung * Hypertension * Liver disease * Heart valve disease and allergy to cabergoline or ergot derivatives.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Moderate or severe ovarian hyperstimulation syndrome | Within 4 weeks of HCG adminstration |
Secondary
| Measure | Time frame |
|---|---|
| The Number of Participants Who Achieved Ongoing Pregnancy | 18 weeks after embryo transfer |
Countries
Egypt