Objective: To present a case of abnormally trending hCG levels due to ovarian hyperstimulation syndrome (OHSS) and to portray the obscurities of this commonly used method for tracking early pregnancies.

Design: Case report.

Setting: Outpatient ART facility.

Patient: A patient who received controlled ovarian hyperstimulation in an ART cycle.

Intervention: Supportive care.

Main Outcome Measure: hCG level.

Result: The hCG levels in this patient with OHSS trended in an abnormal fashion, suggesting a failing or ectopic pregnancy, but the patient had a normal intrauterine fetus.

Conclusion: hCG levels may be falsely low in pregnancies complicated by OHSS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357681PMC
http://dx.doi.org/10.1016/j.crwh.2019.e00096DOI Listing

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