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Dosages
of FSH are adjusted based upon the information from estradiol levels and
ultrasound evaluation. The treatment is expensive and labor intensive, requiring
frequent monitoring by blood estrogen levels and ultrasounds to measure the
number and size of the follicles which contain the eggs and to measure the
thickness of the lining of the uterus. The prolonged duration of the OHSS in
Rosarios case is really unusual and I have not seen this before. Not much to do
except attempt to wait it out. In some cases we have used dopamine to help the
kidneys function but seems unlikely to help in this case. Some REs use
cabergoline to treat OHSS. THis drug is usually reserved for treatign elevated
prolactin levels, but may help with OHSS.

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