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Human Reproduction, Vol. 3, No. 3, pp. 337-339, 1988
© 1988 European Society of Human Reproduction and Embryology

research-article

Ultrasonically guided percutaneous and transvaginal fofficle aspiration; a comparative study

H.A.B. Janssen-Caspers, J.W. Wladimiroff, I. van Gent{dagger}, A.Th. Alberda, R.A. Leerentveld, G.H. Zeilmaker1 and A.C. Drogendijk

Department of Obstetrics and Gynaecology Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands 1Department of Endocrinology, Growth and Reproduction, Erasmus University Ronerdam Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

In this study we compare the efficacy of ultrasonically guided percutaneous oocyte collection for in-vitro fertilization with ultrasonically guided transvaglnal oocyte collection. Forty-seven patients were prospectively randomized into two groups. Twenty-four patients underwent percutaneous follide aspiration and 23 patients underwent a transvaginal puncture. The number of aspirated oocytes per patient showed a statistically significant difference in the two groups: 2.5 for the percutaneous puncture versus 5.2 for the transvaginal procedure. The number of embryos per patient was 2.7 in the transvaginal puncture group versus 1.6 in the percutaneous puncture group. This difference was not statistically significant. The clinical pregnancy rate per patient was 12.5% with the percutaneous approach and 30.4% with the transvaginal technique. This difference was also not statistically significant. Since the transvaginal procedure also creates less discomfort to the patient and is less time-consuming it is concluded that this approach is preferable to the percutaneous puncture technique in obtaining oocytes for in-vitro fertilization.

Key words: percutaneous follicle aspiration/transvaginal follicle aspiration/ultrasound

{dagger}Deceased (March 1986)


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