ALB and ovarian hyperstimulation syndrome: Given these limitations, we use the following approach in the prevention of OHSS: (1) coasting when estradiol levels are very high or there are too many medium range follicles; (2) we always give the standard dose of hCG and never cancel the cycle regardless of peak estradiol level; (3) we do not use IV albumin or dopamine agonists; (4) cryopreserve all embryos if the patient is symptomatic on the day of scheduled embryo transfer; and (5) aggressively use transvaginal paracentesis for moderate to severe OHSS.