After taking the HCG shot, does stomach pain mean the follicle has ruptured?

Patient's question:

No.

Doctor's answer:

Hello, Ovarian Hyperstimulation Syndrome (OHSS) initially presents as ovarian enlargement accompanied by abdominal discomfort, which can further develop into cystic changes in the ovaries. Clinical manifestations include ovarian enlargement, ascites, generalized edema, electrolyte imbalance, oliguria, and in severe cases, ovarian torsion leading to hypovolemic shock. If you experience any discomfort, it is recommended that you contact your primary physician promptly.

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