Risk factors for acute pain after transvaginal ultrasound-guided oocyte retrieval: a retrospective study (2023–2024)
Authors' conclusion
Younger age, pre-procedural pain, procedure duration, endometriosis and high basal anti-Mullerian hormone levels are risk factors
Study context
- Population
- Patients undergoing transvaginal ultrasound-guided oocyte retrieval, Montpellier University Hospital (France), June 30, 2023 to June 30, 2024
- Participants
- 1,000 oocyte retrieval procedures
- Outcome
- Post-procedural pain (maximal NRS > 3 or rescue analgesia required)
- Follow-up
- Within 4 h
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Post-procedural pain
Incidence of post-procedural pain: 608 of 986 patients
61.66%
Independent risk factor (n=969): age, OR
0.96
P = 0.020
Independent risk factor (n=969): pre-procedural pain, OR
5.84
P < 0.001
Independent risk factor (n=969): procedure duration, OR
1.07
P < 0.001
Observational data: associations, not effects.
Secondary outcomes
Moderate to severe post-procedural pain (maximal NRS > 5 or morphine consumption) · within 4 h
- Incidence: 227 of 982 patients
- 23.12%
- Independent risk factor (n = 816): pre-procedural pain, OR
- 4.12, P < 0.001
- Independent risk factor (n = 816): endometriosis, OR
- 2.23, P < 0.001
- Independent risk factor (n = 816): anti-Mullerian hormone levels, OR
- 1.11, P = 0.009
- Independent risk factor (n = 816): procedure duration, OR
- 1.05, P = 0.001
Original publication
Risk factors for acute pain after transvaginal ultrasound-guided oocyte retrieval: a retrospective study (2023–2024). Int J Obstet Anesth. Published 15 March 2026. doi:10.
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