Clinical aspects of oocyte retrieval and embryo transfer: and tricks for the novice and the

Oocyte retrieval (ovum pick-up) and embryo transfer (ET) are essential steps in in-vitro fertilization and intracytoplasmic sperm injection and over the years, the two procedures were developed in order to improve the clinical outcome. Many suggestions were proposed and applied be-fore, during and after oocyte retrieval such as timing of HCG trigger, pre-operative pelvic scan, vaginal cleansing, type of anesthesia, type and gauge of aspiration needles, aspiration pressure, follicle flushing, and the need for prophylactic antibiotics. Similarly, many steps were suggested and implemented before, during and after ET including patient's position, type of anesthesia/analgesia, dummy (mock) ET, ultrasound-guidance, HCG injection in the uterine cavity, use of relaxing agents, full bladder, removal of the cervical mucus, flushing the cervix with culture medium, type of ET catheter, embryo loading techniques, site of embryo deposition, the use of adherence compounds, as well as bed rest after ET. Com-plications were also reported with oocyte retrieval and ET. The aim of this review is to evaluate the current practice of these two procedures in the light of available evidence. (Cite this article as: Sallam HN, Gelbaya TA, Maldonado Rosas I, Anagnostopoulou C, Sallam N, Agarwal A. Clinical aspects of oocyte retrieval and embryo transfer: tips and tricks for the novice and the expert. Panminerva Med 2022;64:185-99. DOI: 10.23736/S0031-0808.22.04679-1)

Automated summary

Oocyte retrieval and embryo transfer are crucial steps in assisted reproductive technologies. Various measures have been proposed and implemented to enhance clinical outcomes and manage complications during these procedures.