What to do if you have ascites after test tube transplantation

There is a small amount of fluid in the human stomach. This fluid can help the normal physiological circulation of the human body and also lubricate the intestines. If the fluid in the stomach exceeds a certain standard, it will cause disease in the human body. The water in the stomach is called ascites. Some people are unable to reproduce normally, so they use in vitro fertilization. So let’s find out what to do if you have ascites after test tube transplantation?

Ovulation induction and egg retrieval are important treatments for in vitro fertilization. During this process, some sisters will develop ascites, and a few more serious cases may even affect the subsequent embryo transplantation. Are you nervous? Don't be afraid! Today, the thoughtful Xiaoxi brings you expert tips to teach you how to use diet to relieve ascites and increase the success rate of test tube surgery.

Under normal circumstances, there is a small amount of fluid in the human abdominal cavity (generally less than 200 ml), which serves to lubricate intestinal peristalsis. Any pathological condition that causes the amount of fluid in the abdominal cavity to increase by more than 200 ml is called ascites.

Why does ascites occur after egg retrieval?

The scientific name of ascites after egg retrieval for in vitro fertilization is ovarian hyperstimulation syndrome (OHSS), which is one of the main complications of in vitro fertilization. It is an overreaction of the human body to ovulation-inducing drugs, characterized by the development of multiple follicles in both ovaries, enlarged ovaries, abnormal capillary permeability, and extravasation of abnormal body fluids and proteins into the third space of the human body, causing a series of clinical symptoms. It often occurs in patients with polycystic ovary and young (age <35 years old) thin people.

Clinically, most OHSS patients are mild to moderate. For this type of patients, self-monitoring is the main focus, so the corresponding self-care knowledge needs to be strengthened. Dietary care, as an important part of clinical care, also plays an important role in preventing the occurrence of ovarian hyperstimulation. Therefore, it should be given sufficient attention and an appropriate diet plan should be chosen.

What should I do if I encounter ascites?

Don’t panic if you encounter ascites. Contact your doctor immediately for consultation and take different measures according to the situation.

We need to remind everyone that after developing ascites, do not panic too much. The correct choice is to contact your doctor for consultation as soon as possible. After the egg retrieval surgery, patients with ascites should first observe daily weight changes and physical conditions. Generally, minor ascites will subside on its own, and patients can handle it at home according to the doctor's advice.

If you encounter severe ascites, be sure to contact a doctor and go to the hospital for treatment. At present, for severe ascites, hospitals generally need to perform abdominal puncture on patients, aspirate ascites, and alleviate patients' symptoms.

Abdominal puncture requires strict aseptic operation, so it is best performed under B-ultrasound monitoring. The rate of aspirating ascites should not exceed 1000 ml per hour, and the total amount should not exceed 3000 ml. It can usually be repeated every 5 to 7 days.

In addition to aspirating ascites, the hospital also encourages patients to maintain a low-salt, high-protein diet, and more closely monitors the patient's daily intake and output, weight, abdominal circumference, liver and kidney function, hematocrit, coagulation function, etc., and provides symptomatic treatment based on the test results.