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The pathophysiology of ovarian hyperstimulation syndrome (OHSS). A proposal role of the ovarian derived prorenin to angiotensin cascade (ODPAC).

Despite the fact that it was first described over thirty years ago, the factors responsible for (OHSS) have continued to elude investigators. During this time, several theories have been popularized but none have become widely accepted. Recently, it has been suggested that angiotensin II (Ang II) derived from the ovary plays an important role in the development of OHSS (1). This paper will briefly review previous theories and present the results of experiments performed at the University of Southern California School of Medicine that add weight to the notion that ODPAC is involved in OHSS.