Effects and safety of propofol intravenous anesthesia in transvaginal oocyte retrieval on outcomes of in vitro fertilization and embryo transplantation
2024

Effects of Propofol Anesthesia on IVF Outcomes

Sample size: 1187 publication 10 minutes Evidence: moderate

Author Information

Author(s): Liu Xiao-Ming, Zhang Fan, Lu Xiao-Sheng, Xi Hai-Tao, Zhao Jun-Zhao

Primary Institution: Reproductive Medicine Centre, Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

Hypothesis

What is the impact of propofol intravenous anesthesia on the outcomes of in vitro fertilization and embryo transplantation?

Conclusion

Propofol anesthesia during oocyte retrieval increases the oocyte retrieval rate without negatively affecting fertilization or embryo quality.

Supporting Evidence

  • The number of oocytes retrieved was significantly higher in the propofol group (p=0.012).
  • Both estradiol levels and pre-ovulatory follicle counts were higher in the propofol group (p<0.01).
  • The preterm delivery rate was significantly higher in the propofol group (p<0.001).
  • Propofol did not adversely affect fertilization or embryo quality.

Takeaway

Using propofol for anesthesia during egg retrieval helps get more eggs without hurting the quality of the embryos.

Methodology

This retrospective study analyzed 1187 patients undergoing IVF-ET, comparing those who received propofol anesthesia to those who did not.

Potential Biases

Potential recall and observer biases due to reliance on medical records.

Limitations

The study is retrospective, which may introduce biases and cannot establish causality.

Participant Demographics

Patients aged 21-46 years undergoing IVF-ET for the first time.

Statistical Information

P-Value

p=0.012

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fendo.2024.1497948

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