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Comparison between laparoscopically and ultrasonographically guided transvaginal follicular aspiration methods in an in vitro fertilization program in the same patients using the same stimulation protocol

  • Jill T. Flood
  • Suheil J. Muasher
  • Simonetta Simonetti
  • David Kreiner
  • Anibal A. Acosta
  • Zev Rosenwaks
Short Communications

Summary

Oocyte recovery from 43 patients undergoing ultrasound-guided transvaginal oocyte retrieval was compared to a previous laparoscopic oocyte retrieval cycle from the same patient. Gonadotropin stimulation in both cycles was performed using the same protocol. There were no statistically significant differences in the mean day of oocyte retrieval or the mean daily estradiol level up to the day of oocyte retrieval between laparoscopic and transvaginal cycles. The total number of follicles aspirated per cycle, preovulatory oocytes aspirated per cycle, and number of concepti of preovulatory origin transferred per cycle were not statistically different. The number of immatue oocytes aspirated per cycle was statistically decreased in transvaginal retrieval cycles, which resulted in an increased total number of concepti transferred per transfer in laparascopic retrieval cycles. Twelve pregnancies resulted from the transvaginal retrieval cycles (27.9%), seven of which are ongoing or delivered. Ultrasound-guided transvaginal follicular aspiration yields results comparable to laparascopic retrieval in the same patients and should be the method of choice for oocyte pickup because of its many advantages.

Keywords

Public Health Estradiol Developmental Biology Estradiol Level Oocyte Retrieval 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Lenz S, Lauritsen JG, Kjellow M: Collection of human oocytes for in vitro fertilization by ultrasonically guided follicular puncture. Lancet 1981;1:1163–1164Google Scholar
  2. 2.
    Lenz S, Lauritsen JG: Ultrasonically guided percutaneous aspiration of human follicles under local anesthesia: A new method of collecting oocytes for in-vitro fertilization. Fertil Steril 1982;38:673–677PubMedGoogle Scholar
  3. 3.
    Hamberger L, Wikland M, Nilsson L, Janson PO, Sjogren A, Hillensjo T: Methods for aspiration of human oocytes by various techniques. Acta Med Rom 1982;20:370–378Google Scholar
  4. 4.
    Feichtinger W, Kemeter P: Laparoscopic or ultrasonically guided follicle aspiration for in vitro fertilization. J Vitro Fert Embryo Transfer 1984;1:244–249Google Scholar
  5. 5.
    Wikland M, Hamberger L: Ultrasound as a diagnostic and operative tool for in vitro fertilization and embryo replacement (IVF/ER) programs. J Vitro Fertil Embryo Transfer 1984;1:213–216Google Scholar
  6. 6.
    Lewin A, Margalioth EJ, Rabinowitz R, Schenker JG: Comparative study of ultrasonically guided percutaneous aspiration with local anesthesia and laparoscopic aspiration of follices in an in-vitro fertilization program. Am J Obstet Gynecol 1985;15:621–625Google Scholar
  7. 7.
    Parsons J, Booker M, Goswamy R, Akkermans J, Riddle A, Sharma V, Wilson L, Whitehead M, Campbell S: Oocyte retrieval for in-vitro fertilization by ultrasonically guided needle aspiration via the urethra. Lancet 1985;1:1076PubMedGoogle Scholar
  8. 8.
    Gleicher N, Friberg J, Fullan N, RV Giglia, K Mayden, T Kesky, I Siegal: Egg retrieval for in vitro fertilization by sonographically controlled vaginal culdocentesis. Lancet 1983;2:508–509PubMedGoogle Scholar
  9. 9.
    Dellenbach P, Nisand I, Moreau L: Transvaginal sonographically controlled ovarian follicle puncture for egg retrieval. Lancet 1984;1:1467Google Scholar
  10. 10.
    Cohen F, Debache C, Pez JP, Junca AM, Cohen-Bacric P: Transvaginal sonographically controlled ovarian puncture for oocyte retrieval for in vitro fertilization. J Vitro Fert Embryo Transfer 1986;3:309Google Scholar
  11. 11.
    Schulman JD, Dorfmann AD, Jones SL, Pitt CC, Joyce B, Patton LA: Outpatient in vitro fertilization using transvaginal ultrasound-guided oocyte retrieval. Obstet Gynecol 1987;69:665–668PubMedGoogle Scholar
  12. 12.
    Feichtinger W, Kemeter P: Transvaginal sector scan sonography for needle guided transvaginal follicle aspiration and other applications in gynecologic routine and research. Fertil Steril 1986;45:722–725PubMedGoogle Scholar
  13. 13.
    Feichtinger W, Kemeter P: Ultrasound-guided aspiration of human ovarian follicles for in vitro fertilization.In Ultrasound Annual 1986; RC Saunders, M Hill (eds). New York, Raven Press; 1986, pp 25–37Google Scholar
  14. 14.
    Hamberger L, Wikland M, Enk L, Nilsson L: Laparoscopy versus ultrasound guided puncture for oocyte retrieval. Acta Eur Fertil 1986;17:195–198PubMedGoogle Scholar
  15. 15.
    Kemeter P, Feichtinger W: Transvaginal oocyte retrieval using a transvaginal sector scan probe combined with an automated puncture device. Hum Reprod 1986;1:21–24PubMedGoogle Scholar
  16. 16.
    Torode HW, Picker RH, Robertson RD, Porter RN, O'Neill C, Saunders D: Initial results with transvaginal, ultrasonically-guided oocyte/pick-up in an Australian in-vitro fertilization programme. Med J Aust 1986;144:613–614PubMedGoogle Scholar
  17. 17.
    Drugan A, Blumenfeld Z, Erlik Y, Timor-Tritsch IE, Brandes JM: The use of transvaginal sonography in infertility.In Transvaginal Sonography, IE Trimor-Tritsch, S Rotten S (eds). New York, Elsevier Press, 1988, pp 143–159Google Scholar
  18. 18.
    Lenz S, Leeton J, Renou P: Transvaginal recovery of oocytes for in vitro fertilization using vaginal ultrasound. J Vitro Fert Embryo Transfer 1987;4:51–55Google Scholar
  19. 19.
    Hammarberg K, Enk L, Nilsson L, Wikland M: Oocyte retrieval under the guidance of a vaginal transducer: Evaluation of patient acceptance. Hum Reprod 1987;2:487–490PubMedGoogle Scholar
  20. 20.
    Russell JB, DeCherney AH, Hobbins JC: A new transvaginal probe and biopsy guide for oocyte retrieval. Fertil Steril 1987;47:350–352PubMedGoogle Scholar
  21. 21.
    Wikland M, Enk L, Hammarberg K, Nilsson L: Use of a vaginal transducer for oocyte retrieval in an IVF-ET Program. J Clin Ultrasound 1987;15:245–251PubMedGoogle Scholar
  22. 22.
    Rosenwaks Z, Muasher S: Recruitment of fertilizable eggs.In In Vitro Fertilization-Norfolk, HW Jones Jr, GS Jones, GD Hodgen, Z Rosenwaks (eds). Baltimore, Williams and Wilkins, 1986, pp 30–51Google Scholar
  23. 23.
    Jones HW Jr, Acosta AA, Garcia J: A technique for the aspiration of oocytes from human ovarian follicles. Fertil Steril 1982;37:26–29PubMedGoogle Scholar
  24. 24.
    Veeck LL, Wortham JWE Jr, Witmyer J, Sandow BA, Acosta AA, Garcia JE, Jones GS, Jones HW Jr: Maturation and fertilization of morphologically immature human oocytes in a program of in vitro fertilization. Fertil Steril 1983;39:594–602PubMedGoogle Scholar
  25. 25.
    Flood, JT, Chillik C, Van Uem J, Iritani A, Hodgen GD: Ooplasmic transfusion: Prophase germnal vesicle oocytes made developmentally competent by microinjection of metaphase II egg cytoplasm. Society for Gynecologic Investigation, 35th Annual Meeting, Baltimore, MD, 1988, Abstract 1, p 60Google Scholar
  26. 26.
    Marrs RP: Does the method of oocyte collection have a major influence on in vitro fertilization? Fertil Steril 1986;46:193–195PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Jill T. Flood
    • 1
  • Suheil J. Muasher
    • 1
  • Simonetta Simonetti
    • 1
  • David Kreiner
    • 1
  • Anibal A. Acosta
    • 1
  • Zev Rosenwaks
    • 1
  1. 1.Jones Institute for Reproductive Medicine Department of Obstetrics and GynecologyEastern Virginia Medical SchoolNorfolk

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