Successful Management of OHSS with Early Pregnancy by Dr. Nikkhil Chitnis at Dr. Malatibai Chitnis Hospital

Doctor’s Name: Dr. Nikkhil Chitnis
Clinic/Hospital Name: Dr. Malatibai Chitnis Hospital

Patient’s Name: Mayuri
Patient’s Age: 27 years
Gender: Female

Patient Background

Mayuri, a 27-year-old woman, was referred to Dr. Malatibai Chitnis Hospital, a renowned IVF centre in Thane, after undergoing an ovum pickup procedure. Shortly after, she developed symptoms indicative of ovarian hyperstimulation syndrome (OHSS) and was also confirmed to be six weeks pregnant.

Symptoms Shown by the Patient

Mayuri presented with severe abdominal distension, difficulty breathing, and moderate ascites. Her symptoms were concerning and necessitated urgent medical intervention.

Diagnostic Method

Upon arrival at the hospital, Dr. Nikkhil Chitnis, a leading IVF doctor in Thane, performed a comprehensive diagnostic evaluation. An ultrasound revealed that Mayuri’s right ovary had enlarged to 12-15 cm due to torsion, alongside moderate ascites. The diagnosis confirmed OHSS with torsion of the right ovary and an early pregnancy of six weeks.

Disease Diagnosed

Mayuri was diagnosed with ovarian hyperstimulation syndrome (OHSS), a condition resulting from excessive hormonal stimulation of the ovaries, compounded by torsion of the right ovary during early pregnancy.

Medical Tests Performed

  • Ultrasound imaging to evaluate ovarian size and presence of ascites.
  • Blood tests to monitor hormone levels and assess the impact of OHSS on overall health.

Treatment Provided to the Patient

Dr. Chitnis swiftly developed a personalized treatment plan to address both OHSS and the ovarian torsion. The procedure involved:

  1. Laparoscopic ovarian detorsion:The twisted right ovary was carefully untwisted to restore normal blood flow.
  2. Ovarian bulk removal:The enlarged ovary was reduced in size to relieve pressure and minimize complications.

This minimally invasive approach ensured that the pregnancy remained undisturbed while effectively managing OHSS and its associated risks.

Guidelines Provided After Treatment

After surgery, Mayuri was provided with a comprehensive care plan to ensure the continued success of her pregnancy while managing the residual effects of OHSS:

  • Regular monitoring:Frequent ultrasounds and blood tests to track fetal development and ovarian health.
  • Adequate hydration and nutrition:To support recovery and maintain hormonal balance.
  • Bed rest and stress management:Recommended to avoid strain and ensure a smooth pregnancy journey.
  • Medications:Prescribed to alleviate symptoms and maintain optimal health.

Post-Surgery Assessment

Mayuri responded exceptionally well to the treatment. Follow-up evaluations confirmed that the ovarian detorsion was successful, and her pregnancy progressed without complications. By the 14th week, Mayuri’s symptoms of OHSS had completely resolved, and her baby was developing as expected.

Outcome

Mayuri is now 14 weeks pregnant and in excellent health, thanks to the timely and expert care provided by Dr. Nikkhil Chitnis, an expert in IVF treatment in Thane and the team at Dr. Malatibai Chitnis Hospital.

Long-term Expectation

With ongoing care and monitoring, Mayuri is expected to deliver a healthy baby. The successful management of her condition highlights the hospital’s expertise in handling complex cases involving IVF treatment.

Feedback from the Patient

“Awesome management done by the team at Dr. Malatibai Chitnis Hospital. I am deeply grateful for their skill and support during such a challenging time.”