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Human Reproduction, Vol. 3, No. suppl_2, pp. 59-63, 1988
© 1988 European Society of Human Reproduction and Embryology

Transvaginal sonographically guided oocyte retrieval for in-vitro fertilization

U. Gembruch, K. Diedrich, B. Welker, J. Wahode, H. van der Ven, S. Al-Hasani and D. Krebs

Department of Obstetrics and Gynaecology, University of Bonn Bonn, FRG

Between December 1986 and November 1987, 588 transvaginal sonographically guided oocyte retrievals using a vaginal transducer were performed for in-vitro fertilization. All follicles were accessible. No complication occurred except for one case of pelviperitonitis in a patient with preoperatively diagnosed sactosalpinx. Because this technique is safe, non-invasive and can be performed without general anaesthesia, eggs were also retrieved from patients despite poor hormonal values and endogenous LH surge. In all, clinical pregnancies were diagnosed in 85 patients. Pregnancy rates per embryo transfer, oocyte retrieval and stimulated cycle, respectively, were 19.0, 14.5 and 12.0%. The advantages of the transvaginal technique compared with laparoscopically guided and with other sonographically guided techniques of oocyte retrieval are obvious, e.g. no general anaesthesia, in general all follicles accessible, very low complication rates, little discomfort to patient, less time and fewer staff. Therefore, this technique seems to be the method of choice. Laparoscopically guided oocyte retrieval is only indicated when a laparoscopic screening of pelvic organs or a gamete intra-Fallopian transfer are to be performed simultaneously.

Key words: oocyte retrieval/in-vitro fertilization/vaginal scanning/ultrasound

Submitted on May 3, 1988;
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