GNRH1 and ovarian hyperstimulation syndrome: Such modifications in the stimulation protocols for women with PCOS, undergoing IVF treatment perceived to be at a significant risk of OHSS, include the use of GnRH antagonist protocols [22], with the use of a GnRH agonist as a trigger injection prior to oocyte retrieval, the concurrent use of metformin during stimulation [21, 23], and the use of dopamine agonists [5].