Abstract

Background: Women who have transvaginal oocyte retrieval feel nervous and have mild to moderate pain because a needle is used to poke holes in the vaginal skin and ovarian capsule to get the oocytes. Often, people have to try many times before they succeed Aim of the study: The aim of this study was to demonstrate which is the better technique to get best oocytes quality and ICSI outcome with higher pregnancy rate by comparing two groups of infertile women during oocytes retrieval, One group under general anesthesia and the other group under spinal anesthesia Patients and Methods : A cross-sectional study was conducted in the High Institute of Infertility Diagnosis and Assisted Reproductive Technologies/ Al-Nahrain University, from first April 2021 to the first of February 2022. Patients during their IVF course randomized blindly at time of oocyte retrieval, two types of anesthesia given to two groups: (50 women subjected to spinal anesthesia and 50 women subjected to general anesthesia). All couples subjected to a full history taking, complete general examination, complete gynecological examination and infertility workup including: husband’s seminal fluid analysis, basal hormonal analysis, uterine cavity assessment by ultrasound and tubal patency evaluation by hystrosalpingogram.

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