Abstract
Ultrasonically guided follicular aspiration is presented as an alternative method to laparoscopy for oocyte harvesting. The method is described in detail and compared to laparoscopic oocyte pickup. The success rate of this technique reached in 1984 compared to that of laparoscopic oocyte pickup was the same: the oocyte recovery rate was 93%, the fertilization rate was 58%, and the pregnancy rate was 13% (normal ongoing pregnancies per treatment cycle). Ultrasonically guided follicular aspication is shown to be superior to laparoscopic oocyte recovery as far as ovarian accessibility and complication rate are concerned.
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Kratochwil A, Urban G, Friedrich F: Ultrasonic tomography of the ovaries. Ann Chir Gynaecol Fenn 1972 61:211–214.
Hackelöer BJ, Robinson HP: Ultraschalldarstellung des wachsenden Follikels und Corpus luteum im normalen physiologischen Zyklus. Geburtsh Frauenheilk 1978;38:163–170
Hackelöer BJ, Fleming R, Robinson HP, Adams AJ, Coutts JR: Correlation of ultrasonic and endocrinologic assessment of human follicular development. Am J Obstet Gynecol 1979;135:122–148
Hackelöer BJ, Hansmann M: Ultrasound diagnosis of follicle growth and ovulation.In Fertilisation of the Human Egg in Vitro, Biological Basis and Clinical Application, HM Beier, HR Lindner (eds). Springer Verlag, Berlin-Heidelberg-New York, 1983, pp 81–94
Feichtinger W, Kemeter P, Beck A, Kratochwil A: Ultrasonic growth control of Graafian follicles before recovery and in vitro fertilisation of human oocytes.In 10th World Congress on Fertility and Sterility, Proceedings IFFS, Madrid, 1980, p 271
O'Herlihy C, de Crespyguy LC, Lopata A, Johnston I, Hoult I, Robinson H: Preovulatory follicular size: A comparison of ultrasound and laparoscopic measurements. Fertil Steril 1980;34:24–27
Feichtinger W, Szalay S, Kemeter P, Beck A, Bieglmayer Ch, Riss P, Kratochwil A, Janisch H: The preovulatory follicle and oocyte.In Human Conception in Vitro, RG Edwards, GM Purdy (eds). London, Academic Press, 1982, pp 73–83
Jones HW: Factors influencing implantation and maintenance of pregnancy following embryotransfer.In Fertilisation of the Human Egg in Vitro, HM Beier, HR Lindner (eds). Berlin-Heidelberg, New York, Springer Verlag, 1983, pp 293–306
Kerin J: Ovulation detection in the human. Clin Reprod Fertil 1982;1:27–54
Funduk-Kurjak B, Kurjak A: Ultrasound monitoring of follicular maturation and ovulation in normal menstrual cycles and in ovulation induction. Acta Obstet Gynecol Scand 1982;51:329–335
Kerin J, Ganny GB, Lees MM, Lawson S, Templeton AA, Baird OT: The serial assessment of Graafian follicle growth by ultrasonic means for timing AID.In Human Artificial Insemination and Semen Preservation, G David, WS Bice (eds). New York-London, Plenum Press, 1980, pp 341–345
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;38:673–677
Wikland M, Nilsson L, Hansson R, Hamberger L, Janson PO: Collection of human oocytes by the use of sonography. Fertil Steril 1983;39:603–608
Feichtinger W, Kemeter P: Derzeitiger Stand der in vitro Fertilisation, Indikationen und gegenwärtige Probleme. Zbl Gynäkol 1984;106:900–906
Jones HW, Jones GS, Andrews MC, Acosta A, Bundren C, Garcia J, Sandow B, Veeck L, Wilkes C, Witmyer J, Wortham JE, Wright G: The program for in vitro fertilization at Norfolk. Fertil Steril 1982;38:14–19
Feichtinger W, Szalay S, Beck A, Kemeter P, Janisch H: Results of laparoscopic recovery of preovulatory human cocytes from non-stimulated ovaries in an ongoing in vitro fertilization program. Fertil Steril 1981;36:707–711
Feichtinger W, Kemeter P: Embryo transfer at an early stage—a possible reason for an extremely reduced abortion rate. Proceedings of the V Renier de Graaf Symposium. R Rolland (ed) Excerpta Medica, Amsterdam-Oxford-Princeton, (in press)
Johnston IW:In Human Conception in Vitro, RG Edwards, JM Purdy (eds). London, Academic Press pp 130–131
Feichtinger W: Selection of patients for in vitro fertilization. Presented at Human in Vitro Fertilization and Early Embryo Development, Bari, 11–13 April 1983 (abstr)
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Feichtinger, W., Kemeter, P. Laparoscopic or ultrasonically guided follicle aspiration for in vitro fertilization?. J Assist Reprod Genet 1, 244–249 (1984). https://doi.org/10.1007/BF01131624
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DOI: https://doi.org/10.1007/BF01131624