Follicle puncture for oocyte retrieval, any method
CPT4 code
Name of the Procedure:
Follicle Puncture for Oocyte Retrieval
Summary
Follicle puncture for oocyte retrieval is a procedure used to collect mature eggs (oocytes) from a woman's ovarian follicles. This is a key step in assisted reproductive technologies such as in vitro fertilization (IVF).
Purpose
The procedure is designed to obtain eggs from the ovaries for use in fertility treatments, typically IVF. It aims to help individuals and couples experiencing infertility to conceive a child.
Indications
- Infertility due to blocked fallopian tubes.
- Ovulation disorders.
- Unexplained infertility.
- Male factor infertility requiring IVF.
- Patients undergoing cryopreservation (egg freezing).
Preparation
- Patients may need to undergo hormonal stimulation to induce multiple follicle development.
- Fasting for 6-8 hours before the procedure.
- Avoiding certain medications as advised by the doctor.
- Diagnostic tests such as blood work and ultrasounds to monitor follicle development.
Procedure Description
- The patient is positioned and sedated using light anesthesia.
- An ultrasound probe with a thin needle is inserted vaginally.
- The needle is guided into each mature follicle, where it punctures and aspirates the fluid containing the egg.
- The collected fluid is examined under a microscope to identify and collect the oocytes.
- The procedure typically involves minimal discomfort due to sedation.
Duration
The procedure usually takes about 20-30 minutes.
Setting
Performed in a clinical or outpatient surgical center.
Personnel
- Reproductive endocrinologist or fertility specialist.
- Nurse or medical assistant.
- Anesthesiologist or sedation nurse.
Risks and Complications
- Mild pain or cramping.
- Bleeding or infection at the puncture site.
- Ovarian hyperstimulation syndrome (OHSS) due to hormonal stimulation.
- Damage to surrounding structures (rare).
Benefits
- Enables egg collection for IVF or egg freezing.
- Higher chances of pregnancy with IVF, especially for couples with specific infertility issues.
- Benefits typically realized within the IVF cycle duration (approximately 4-6 weeks).
Recovery
- Monitoring in recovery area for a few hours post-procedure.
- Mild bloating or cramping that resolves within a day or two.
- Avoiding strenuous activities for a few days.
- Follow-up appointment to check for any complications and discuss the next steps in the IVF process.
Alternatives
- Intrauterine insemination (IUI) may be considered for less severe fertility issues.
- Donor eggs might be an option if egg quality is a concern.
- Natural cycle IVF which avoids hormone stimulation but might yield fewer eggs.
Patient Experience
- Most patients experience minimal discomfort due to sedation.
- Light bleeding or spotting possible afterward.
- Pain management includes over-the-counter pain meds and rest.
- Overall, the procedure is well-tolerated with a quick recovery period.