Nokea
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. She mentions experiencing abdominal bloating, nausea, and weight gain of 5 pounds over the past 12 hours. What condition do these symptoms indicate?
Correct Answer: C
Rationale: The correct answer is C: Ovarian hyperstimulation syndrome (OHSS). OHSS is a potential complication of ovulation induction with medications like clomiphene citrate. The symptoms of abdominal bloating, nausea, and rapid weight gain indicate fluid accumulation in the abdominal cavity, a hallmark of OHSS. This occurs due to enlarged ovaries releasing excessive fluid into the abdomen. It is important to monitor patients like Lori closely for signs of OHSS to prevent severe complications.
Incorrect choices:
A: Ovulation - Symptoms described are not typical of normal ovulation.
B: Premenstrual syndrome - Symptoms are not consistent with typical PMS symptoms.
D: Failed ovulation induction - Symptoms of weight gain and bloating are not indicative of failed ovulation induction but rather a complication of the treatment.