ABSTRACT
Severe ovarian hyperstimulation syndrome (OHSS) in patients undergoing hormonal treat ment for multiple follicular recruitment prior to in vitro fertilization (IVF) has been discussed extensively in the literature. Iatrogenic lethal outcome of these elective treatment modalities, however, is sparsely found: is this due to the very low incidence or due to (for obvious rea sons) unwillingness to report it? It goes without saying that the impact of this most serious com plication is devastating to the partners and fam ilies, as well as to the medical professionals con cerned. Should we not learn from each other? Do we have to wait a generation before long term observational studies may become avail able, and should we, medical professionals, remain blind and/or deaf to reports that appear meanwhile in the lay literature?