Vida Shafti: Every IVF Cycle Carries a Hidden Question…
Vida Shafti, Physician at The OB/Gyn and Infertility Center, shared on LinkedIn։
“Every IVF cycle carries a hidden question: will this patient’s ovaries overreact?
Ovarian Hyperstimulation Syndrome (OHSS) remains one of the most preventable – yet still underestimated – complications in assisted reproduction. The good news: risk is rarely a surprise. It’s usually predictable, if we look at the right numbers early enough.
A well-built OHSS risk calculator brings together the variables we already collect during stimulation:
- Antral follicle count (AFC)
- Baseline and peak AMH
- Estradiol level on trigger day
- Number of follicles> 14 mm
- PCOS status and BMI
- Total oocytes retrieved
Instead of relying on gut feeling at trigger day, a structured scoring model flags high-risk patients earlier – often early enough to shift strategy: switching to a GnRH agonist trigger, adopting a freeze-all approach, or starting cabergoline prophylaxis before symptoms even begin.
This isn’t about replacing clinical judgment. It’s about giving it better inputs. A five-second risk score at the right moment can be the difference between a routine cycle and an emergency admission for a patient.
As fertility specialists, we already have the data. The opportunity is turning it into a consistent, repeatable decision tool – one that protects patients without slowing down care.
Curious how colleagues are currently screening for OHSS risk in their clinics – scoring systems, AI-assisted tools, or still mostly clinical intuition?”
Other articles featuring Vida Shafti on Fertility News.
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Sep 7, 2026, 17:50Stephanie Beall: Letting Go of “Elective” in Single Embryo Transfer
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Sep 7, 2026, 17:46Clare Mansfield: Fertility Treatment Doesn’t Stop When the Working Day Begins
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Sep 7, 2026, 17:43George Ndukwe: I Received This Email, and It Brought Tears to My Eyes
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Sep 7, 2026, 17:41Jenny Stojkovic: Of All the Things I Expected to Face in Life, Infertility Was Never One of Them…
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Sep 7, 2026, 17:37Chris De Kauwe: Delighted to Be One of the Candidates for Election to the BMS Medical Advisory Council
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Sep 7, 2026, 17:34Juan J. Andino: Discussions around Oncofertility with Passionate Folks from AYA Team at UCLA Health