Oocyte retrieval difficulties in women with ovarian endometriomas

Research output: Contribution to journalArticle

Abstract

Research question: What are the frequency, characteristics and consequences of technical diffiiculties encountered by physicians when carrying out oocyte retrieval in women with ovarian endometriomas? Design: We prospectively recruited women undergoing IVF and compared technical difficulties between women with (n = 56) and without (n = 227) endometriomas. Results: In exposed women, the cyst had to be transfixed in eight cases (14%, 95% CI 7 to 25%) and accidental contamination of the follicular fluid with the endometrioma content was recorded in nine women (16%, 95% CI 8 to 27%). Moreover, follicular aspiration was more frequently incomplete (OR 3.6, 95% CI 1.4 to 9.6). In contrast, the retrievals were not deemed to be more technically difficult by the physicians and the rate of oocytes retrieved per developed follicle did not differ. No pelvic infections or cyst ruptures were recorded (0%, 95% CI 0 to 5%). Conclusions: Oocyte retrieval in women with ovarian endometriomas is more problematic but the magnitude of these increased difficulties is modest.

Original languageEnglish
Pages (from-to)77-84
JournalReproductive BioMedicine Online
Volume37
Issue number1
DOIs
Publication statusPublished - 2018

    Fingerprint

Keywords

  • Complication
  • Endometrioma
  • IVF
  • Oocyte retrieval

ASJC Scopus subject areas

  • Reproductive Medicine
  • Developmental Biology

Cite this