Newly PG - OHSS, ovarian torsion?

[katiepcoo]

Hi Ladies! I had my first O w/IUI 13 days ago and got a BFP yesterday. I am visiting my parents 900 miles from home and have been having terrible pain starting the night I got here and it continued intermittantly for days. I went to the er yesterday and got hooked up with an ob/gyn who talked to my RE.
I'm so confused about what is going on with me and I just want to get home asap but I drove out here with my dog. DH is flying out tomorrow to drive me home. I just want to be back with my doctor so she can take care of me.
I had a horrible episode of pain last night that lasted for 10 minutes and the doc thinks it might have been my ovary torsing and then righting itself. He thinks I am hyperstimulated but RE's office says not except maybe mildly. To top it off, on the u/s they did yesterday they couldn't find my R ovary, only a 9 cm mass next to my L ovary. What the hell???? I know I have a l ovary; last week it had 4 mature follicles and I never had a mass on the L. I think somehow my R ovary flipped over to the other side. I just want to get home so RE can do U/s. At least betas were good. 120 yesterday and 186 today.

Sorry, I should be happy but I am so unsure and a little scared.

[cvalentine]

Wow! What an ordeal! You hang in there and let us know what your dr says after you get home. I've never heard of suddenly "losing" an ovary. I've heard of them disentegrating (sp?) when you get older, but not doing a Houdini trick and just disappearing! :shock: I'll be praying for you!

[puckermate]

god that sounds awful!!!

All I can offer is my sympathy and the knowledge that OHSS will NOT affect your pregnancies. Congratulations and good luck!

Ema

[katiepcoo]

thanks, girls! I remember you both from the ttc board!

[texasred1]

Twice when I went in for u/s after getting pregnant one tech asked if I had a left ovary (I guess she finally found it) and another said something very similar and I said, "apparently it hides". Both times I guess they found it and it wasn't an issue? but I never had any pains.

[Kim]

Congratulations on your BFP Katie! I hope you can get home soon to get it all taken care of.

[Kelansma]

The ovary can hide - that happened to a frtiend of mine. She knows she has one but it can be onstructed by the bowel or something. She freaked cuz she has read the ovary can deteriorate and disappear over time...if you have sene it recnetly it is just hidden. Did they do a vaginal scan?! They can't see as much from the tummy view.

[katiepcoo]

They did do a transvag scan. They saw a large mass next to my L ovary. I think it is my ovary on the wrong side. My theory is that it wrapped around the back of my uterus and was in the wrong place. That's my theory, anyway.

When is that baby coming out, Kelensma? I remember when you got your BFP with this baby. Good luck!

[HeidiD]

I had the same awful, awful pains with my hyperstimulated, cystic ovaries but mine lasted for hours and hours. I went to the ER twice in 2 weeks and they weren't sure whether it was intermittent ovarian torsion or my cysts rupturing. Either way, it was excruciating beyond belief and required a LOT of morphine to get me manageable.

A week later I miscarried and a week after that, my ovary torsed for rea. I had to have emergency surgery. The ovary actually died (necrosis) from no blood flow, but they were able to revive it by untwisting it. (They also performed a cystectomy.) The pain from necrosis is incredible. Scale of 1 to 10? 10.

My advice is to keep watch over yourself very carefully. Don't overdo things physically for a while so you don't risk a torsion. When my ovaries were so covered in cysts, a couple of techs had a hard time locating one of them because it was right up against the other ovary and behind the uterus or something. So, I think you're probably totally normal.

Hope this helped! Please take care of yourself and get yourself right to the hospital if the pain comes back. The faster they catch necrosis if it happens to you, the better your chances are of saving your ovary!

[skusisto]

katie - My OHSS took off once I was pregnant! My abdomen swelled ridiculously in like 2 days! I'm sure both ovaries are there. Take it really easy (my doc actually said to spend as much time as possible laying by the pool... I was also on vacation away from the doc...) You should get up periodically to walk around, but move slow. You need to keep the blood pumping, but don't do anything to stress those ovaries... I was also told to limit my fluid intake to 24-36 oz per day which I did for about a week and a half (though I increased gradually once I found out I was preggo). And my doc also said that the OHSS won't hurt the baby at all, just you... I found that reassuring.