Table 1. Classification of OHSS
Grade Symptom
Mild OHSS Abdominal bloating
Mild abdominal pain
Ovarian size usually <8 cm
Moderate OHSS Moderate abdominal pain
Nausea ± vomiting
Ultrasound evidence of ascites
Ovarian size usually 8 to 12 cm
Severe OHSS Clinical ascites (occasionally pleural effusion)
Oliguria
Hematocrit (>45%)
Hypoproteinemia
Ovarian size usually >12 cm