[Patient's experience of topical anesthesia by lidocaine vaginal gel for oocyte retrieval].
- Resource Type
- Academic Journal
- Authors
- Guillaume A; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France. Electronic address: guillaume.anne1@gmail.com.; Schuller-Dufour E; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Faitot V; Service d'anesthésie, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Pirrello O; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Rongières C; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Ohl J; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Nisand I; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.; Bettahar K; Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
- Source
- Publisher: Elsevier Country of Publication: France NLM ID: 0322206 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1773-0430 (Electronic) Linking ISSN: 01509918 NLM ISO Abbreviation: J Gynecol Obstet Biol Reprod (Paris) Subsets: MEDLINE
- Subject
- Language
- French
A recent adverse effect of a paracervical block (cardiac arrest) occurred during an oocyte retrieval (OR), forcing us to reconsider our pain management during OR. Since then, we decided to use intravaginal lidocaine gel as analgesia during OR.
Objectives: To evaluate the pain during OR after intravaginal lidocaine gel analgesia and to evaluate the motivations of women choosing this technique.
Methods: A monocentric observational study was performed on 200 patients. Pain was measured using a numeric pain scale during and after oocyte retrieval. The tolerance of the procedure was evaluated through a patient questionnaire.
Results: Median maximal pain was 5±2.3 (0-10) per-retrieval and 3±2.2 (0-10) post-retrieval. The procedure was considered bearable by 85.5% of the patients and 81.5% of them would choose this method in case of new oocyte retrieval. No adverse effect occurred during the study.
Conclusion: The use of intravaginal lidocaine gel seems an acceptable analgesia alternative during oocyte retrieval.
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