ABSTRACT

Transvaginal ultrasonography guided aspiration of oocytes is a well accepted and a universally used method in assisted reproduction.1,2 Its major advantages include easy access to ovarian follicles with excellent oocyte yield and good visualization of the major pelvic vessels. It is done as a day care procedure under intravenous analgesia and sedation, and is usually atraumatic. Nevertheless, there are some inherent risks, namely, puncture of blood vessels and hemoperitoneum, bleeding from the vaginal vault puncture site, rupture of adnexal cystic masses, bowel perforation, trauma to pelvic organs, and pelvic infection. In addition, embryo transfer (ET) itself may be associated with complications such as pelvic infection, multiple pregnancy, which is directly related to the number of transferred embryos, and spontaneous abortion and extrauterine pregnancy (EUP).