ORPHA:64739
Ovarian hyperstimulation syndrome
Also known as: OHSS
Publications
17,025
Trials
54
Interventional, condition-specific
Researchers
1,031
Distinct authors in sample
Gene link
FSHR
Strong
Readiness
5/6
Stages with a signal
Clinical definition (Orphanet)
A rare non-malformative gynecological disease affecting pre-menopausal women usually following treatment with ovarian stimulating hormones, characterized by ovarian enlargement and, to varying degrees, shift of serum from the intravascular space to the third space, mainly into the peritoneal, pleural, and to a lesser extent to the pericardial cavities. Presenting symptoms include abdomen distention, pain, nausea, and vomiting. Severity ranges from mild to life-threatening and is complicated by increased risk of thrombosis, acute hepato-renal failure, acute respiratory distress syndrome, and ovarian torsion and rupture.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0011972
- MeSH:D016471
- OMIM:608115
- UMLS:C0085083
Additional Mondo synonyms (1)
ovarian hyperstimulation syndrome
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
5/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedPresent
Strong — FSHR
- LiteraturePresent
17,025 matched papers (10,152 in last 10 years) Source
- Phenotype characterisedPresent
21 HPO annotations (e.g. Ovarian cyst; Increased circulating gonadotropin level; Hirsutism) Source
- Animal modelPresent
1 genotype model (Mus musculus) Source
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
54 matched on ClinicalTrials.gov (2 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Yes — we know a specific gene responsible (FSHR).
GenCC classification: Strong.
Phenotypes (Monarch / HPO)
21
Associated phenotypes · MONDO:0011972
- Ovarian cyst
- Increased circulating gonadotropin level
- Hirsutism
- Ascites
- Nausea and vomiting
Showing 5 of 21 — open Monarch for the full list.
Animal models (Monarch / Alliance)
1
Model associations linked to this Mondo ID
- Nr1h3tm1Djm/Nr1h3tm1Djm [background:] involves: 129S6/SvEvTac * C57BL/6·MGI:4358795·Mus musculus
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
16
Drugs / clinical candidates · MONDO_0011972
- CETRORELIX·phase 3
- CORIFOLLITROPIN ALFA·phase 3
- FOLLITROPIN BETA·phase 3
- LETROZOLE·phase 3
- POLYGELINE·phase 3
- BROMOCRIPTINE·phase 2
- DYDROGESTERONE·phase 2
- FLUDROCORTISONE·phase 2
- GONADORELIN·phase 2
- GONADORELIN ACETATE·phase 2
- MONTELUKAST·phase 2
- TRIPTORELIN·phase 2
- CALCIUM·unknown
- CETRORELIX ACETATE·unknown
- CHORIOGONADOTROPIN ALFA·unknown
CTD chemicals (MyDisease.info)
6 associated chemicals · 10 pathways. Therapeutic evidence is listed first when present — not a treatment recommendation.
- 17 alpha-Hydroxyprogesterone Caproate · therapeutic
- Bromocriptine · therapeutic
- Dextrans · therapeutic
- Estradiol · therapeutic
- Indomethacin · therapeutic
- Clomiphene · marker/mechanism
Pathways: cAMP signaling pathway; Neuroactive ligand-receptor interaction; Ovarian steroidogenesis; Signal Transduction; Signaling by GPCR; Class A/1 (Rhodopsin-like receptors); Hormone ligand-binding receptors; GPCR downstream signaling
Literature
Is anyone studying this?
17,025
17,025 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
17,025 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
10,152 in the last 10 years · low confidence
Phrase hits: 8,960 · MeSH hits: 290
Who's working on it?
1,031
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Mathur R6 papers · 2026
Developmental Biology and Medicine, School of Medical Sciences, The University of Manchester, Manchester, United Kingdom.
Papers in Europe PMC - 02Chen X5 papers · 2026
Department of Clinical Epidemiology, Shengjing Hospital of China Medical University, Shenyang, China.
Papers in Europe PMC - 03Li R5 papers · 2026
Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
Papers in Europe PMC - 04Huang X4 papers · 2026
Center of Reproductive Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Papers in Europe PMC - 05Kim JH4 papers · 2026
Fertility Center, CHA Bundang Women's Medical Center, CHA University Bundang Medical Center, Seongnam, South Korea.
Papers in Europe PMC - 06Wang J4 papers · 2026
Department of Endocrinology, Shandong Provincial Hospital & Medical Integration, and Practice Center, Shandong University, Jinan, Shandong, China.
Papers in Europe PMC - 07Wang T4 papers · 2026
The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Papers in Europe PMC - 08Wang Y4 papers · 2026
Center of Reproductive Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Papers in Europe PMC - 09Zhang C4 papers · 2026
Clinical and Translational Neuroscience Unit, Department of Neurology, Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, 520 East 70th Street, Starr Pavilion, 607, New York, NY, 10021, USA.
Papers in Europe PMC - 10Zhang X4 papers · 2026
School of Public Health, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
54
interventional trials for this specific condition
54 interventional trials matched this specific condition name; 2 currently recruiting in our sample.
Data as of 11 September 2026 · last trial check 28 July 2026
54 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 97.3th percentile).
low confidence · 97.3th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
54 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT07043322·RECRUITING·Clinical Study to Evaluate Efficacy of Cabergoline to Coasting in Reducing the Incidence of Ovarian Hyperstimulation Syndrome
Not reviewed·Conditions: Gynecologic Disease·Matched via name + MeSH
- NCT06739759·RECRUITING·Ovarian Hyperstimulation Syndrome Prevention
Not reviewed·Conditions: Ovarian Hyper Stimulation Syndrome (OHSS)·Matched via name + MeSH
Observational and natural-history studies
10 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
None of the matched observational studies is currently listed as recruiting.
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 27 · after dedupe 27 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 27 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (27)
- isrctn·ISRCTN93757751·No longer recruiting·Comparing intrauterine insemination and in vitro fertilisation for unexplained infertility: a study on effectiveness and costs
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN36032472·No longer recruiting·Evaluation of the safety of ovarian support cell in vitro maturation (OSC-IVM) application during in vitro fertilization procedures for infertility treatment
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN55983518·No longer recruiting·Homocysteine levels in polycystic ovary syndrome (PCOS) patients
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN71978064·No longer recruiting·A trial evaluating active outpatient management to prevent hospital admission in women having fertility treatment who develop ovarian hyperstimulation syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN66235250·No longer recruiting·The usefulness of assessing markers of severity among women with ovarian hyperstimulation syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN61225414·No longer recruiting·E-Freeze: Freezing of embryos in assisted conception
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN73037149·No longer recruiting·PROMOTE: A prospective randomised trial comparing embryo development
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN02750360·No longer recruiting·An additional rescue dose of GnRH antagonist administered the day before hCG trigger is effective to prevent ovarian hyperstimulation syndrome (OHSS) in IVF/ICSI antagonist cycles at risk for OHSS without affecting the reproductive outcomes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN53514546·No longer recruiting·Early initiation of gonadotropin-releasing hormone (GnRH) antagonist during assisted reproductive technology (ART)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN42536405·No longer recruiting·Can a dopamine agonist prevent severe ovarian hyperstimulation syndrome (OHSS) in women undergoing intracytoplasmic sperm injection (ICSI) treatment cycles?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN61229302·No longer recruiting·A multicentre randomised controlled trial comparing in vitro maturation of oocytes with in vitro fertilisation in women with an increased risk of ovarian hyperstimulation syndrome.
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74772901·No longer recruiting·Efficacy, safety and tolerability of XM17 compared to Gonal-f® in women undergoing assisted reproductive technologies
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN36808716·No longer recruiting·Purified urinary follicle stimulating hormone (FSH) and recombinant FSH follitropin-alpha for polycystic ovarian syndrome (PCOS) patients undergoing intra-cytoplasmic sperm injection (ICSI)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21199799·No longer recruiting·Metformin and gonadotrophin-releasing hormone (GnRH) antagonist co-treatment in in-vitro fertilisation (IVF) for women with polycystic ovary syndrome (PCOS)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN82461750·No longer recruiting·A trial comparing two commonly used doses of fertility drugs (gonadotrophins) in women likely to have normal response during in vitro fertilisation (IVF)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN35880386·No longer recruiting·Management of endometriotic ovarian cyst before in vitro fertilisation (IVF)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN52843371·No longer recruiting·Prevention of multiple pregnancies in couples with unexplained or mild male subfertility
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN24724622·No longer recruiting·Follicle diameter study: timing of human chorionic gonadotropin administration according to predetermined criteria of follicular size
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN86744378·No longer recruiting·Treatment of couples with unexplained subfertility and an unfavourable prognosis: a randomised trial comparing the effectiveness of intrauterine insemination with ovarian hyperstimulation and in-vitro fertilisation with single embryo transfer
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN97507474·No longer recruiting·Aspirin in in vitro fertilisation (IVF)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN58806684·No longer recruiting·GnRH antagonist administration for patients at high risk of severe Ovarian Hyperstimulation Syndrome (OHSS) down regulated GnRH agonist
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN41865643·No longer recruiting·Should clomiphene citrate (CC) or low-dose gonadotrophin therapy be the first-line treatment for anovulatory infertility associated with polycystic ovary syndrome (PCOS)? A multicentre, randomised, prospective study and cost effective analysis.
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN47219228·No longer recruiting·The use of metformin in patients with polycystic ovarian syndrome requiring treatment with in vitro fertilisation (IVF)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN37449406·No longer recruiting·The use of metformin in in vitro fertilisation (IVF) treatment of patients with polycystic ovary syndrome (PCOS)
skipped — LLM skipped (--skip-llm)
- ctis·2024-516621-31-00·Authorised·Intranasal nafarelin compared to subcutaneous triptorelin for triggering final oocyte maturation in ovarian stimulation: a non-inferiority randomised controlled clinical trial
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Ovarian hyperstimulation syndrome — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
("Ovarian hyperstimulation syndrome") OR (MESH:"Ovarian Hyperstimulation Syndrome") OR ("FSHR" OR "FSHR syndrome" OR "FSHR-related")MeSH descriptor terms unioned into the query: Ovarian Hyperstimulation Syndrome
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Ovarian hyperstimulation syndrome"
Interventional trials matched via: both (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 54 interventional · 10 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: OHSS
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (17025) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T01:10:53.341Z
