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Table 2 All interventions identified to potentially modify OHSS risk

From: Interventions to prevent or reduce the incidence and severity of ovarian hyperstimulation syndrome: a systematic umbrella review of the best clinical evidence

Interventions

Systematic review with meta-analysis

Alternative hCG protocol

 ✖

Aspirin

 ✖

Calcium infusion

 ✔

Carbegoline

 ✔

Clomiphene citrate

 ✔

Coasting

 ✔

Corifollitropin alfa

 ✔

Cycle cancellation

 ✖

Diosmin

 ✔

Dopaminergic agonists

 ✔

Dual trigger

 ✖

Elective cryopreservation

 ✔

Elective single embryo transfer (e-SET)

 ✖

Follitropin delta

 ✖

FSH dose decrease

 ✖

Glucocorticoid

 ✔

GnRH analogs

 ✔

Inositol

 ✖

Insulin sensitizing drugs

 ✖

In vitro maturation of oocytes

 ✔

Intensified luteal phase support with hCG

 ✖

Intensified luteal phase support: GnRH agonist

 ✔

Ketoconazole

 ✖

Kisspeptin

 ✖

Letrozole

 ✔

LH addition

 ✔

Luteal GnRH antagonist administration

 ✖

Luteal phase support / GnRH agonist

 ✔

Luteal phase support / hCG

 ✔

Luteal phase support / progesterone

 ✔

Melatonin

 ✔

Metformin

 ✔

Mild ovarian stimulation

 ✔

Monitoring and surveillance

 ✔

Natural IVF cycles

 ✔

Oral contraceptives

 ✔

Ovarian drilling

 ✔

Personalization

 ✔

Predictive models

 ✔

Progestin-primed ovarian stimulation

 ✔

Triggering / hCG dose

 ✖

Triggering / GnRH agonist

 ✔

Triggering / r-hLH

 ✔

Triggering / hCG type

 ✔

Gonadotropins

 ✔

Vitamin D

 ✖

Volume expanders / albumin

 ✔

Volume expanders / hydroxyethyl starch

 ✔