A 32-year-old woman presents with bloating, lower abdominal pain and dyspnoea on minimal exertion. She is undergoing IVF, with egg retrieval 13 days ago and embryo transfer 7 days ago. She is referred with concern for ovarian hyperstimulation syndrome.

Ovarian hyperstimulation syndrome

1. List two features of ovarian hyperstimulation syndrome demonstrated on the ultrasound images. 2 marks

2. List five important complications of critical ovarian hyperstimulation syndrome and state how they may be managed or prevented. 10 marks