Oocyte retrieval difficulties in women with ovarian endometriomas

Reproductive Biomedicine Online
Laura BenagliaEdgardo Somigliana

Abstract

What are the frequency, characteristics and consequences of technical diffiiculties encountered by physicians when carrying out oocyte retrieval in women with ovarian endometriomas? We prospectively recruited women undergoing IVF and compared technical difficulties between women with (n = 56) and without (n = 227) endometriomas. 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%). Oocyte retrieval in women with ovarian endometriomas is more problematic but the magnitude of these increased difficulties is modest.

Citations

Feb 13, 2020·Reproductive Sciences·Marco ReschiniPaolo Vercellini
Oct 20, 2019·Reproductive Biomedicine Online·Pierre-Emmanuel BouetPascale May-Panloup
Nov 30, 2020·Journal of Minimally Invasive Gynecology·Charles E Miller
Mar 27, 2021·Current Opinion in Obstetrics & Gynecology·Baris Ata, Savci Bekir Telek
May 20, 2021·Minerva Obstetrics and Gynecology·Laura BenagliaEdgardo Somigliana
Jun 25, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Bulent Emre BilgicGülşah İlhan

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