High level of satisfaction among women who underwent oocyte retrieval without anesthesia

A high level of satisfaction among women undergoing transvaginal oocyte retrieval without anesthesia was reported. It was found to be feasible and safe, with no adverse effects and should be considered in selected patients.

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VOLUME 114, ISSUE 2, P354-360

Authors:

Chaim Greenberger, M.D., Idit Matot, M.D., Hanna Artsi, Ph.D., Nivin Samara, M.D., Foad Azem, M.D.

Abstract:

Objective

To assess the level of satisfaction of women undergoing transvaginal oocyte retrieval (TOR) without anesthesia as well as the comfort of the gynecologists.

Design

Single-center, prospective cohort study of women undergoing TOR from July 2017 to January 2018.

Setting

This study was conducted in an academic public hospital.

Patient(s)

Women with ≤15 follicles for retrieval were eligible. Women with body mass index > 35, difficult vaginal approach, endometrioma > 5 cm, or pelvic inflammatory disease were excluded.

Intervention(s)

None.

Main Outcome Measure(s)

Our primary endpoint was patient satisfaction. Secondary endpoints were women’s willingness to recommend or undergo the procedure again without anesthesia, anxiety levels before the procedure, expected level of pain, actual pain levels during the procedure, and gynecologist’s level of difficulty or technical compromise.

Result(s)

During the study period, 500 TORs were performed, of which 402 (80%) were screened for study eligibility. Overall, data were analyzed for 50 eligible women who had their first in vitro fertilization cycle (participating in the study) without anesthesia. High rates of satisfaction were reported, and 90% would recommend the procedure without anesthesia to their friends. Physicians graded the difficulty of the procedure as very easy in 35 procedures; in only two procedures was difficulty reported.

Conclusion(s)

TOR without anesthesia is feasible, with a relatively high satisfaction rate from both patients and gynecologists, suggesting that it should be considered in selected women.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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