[Patient's experience of topical anesthesia by lidocaine vaginal gel for oocyte retrieval].
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.


OBJECTIVE
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.


CONCLUSIONS
The use of intravaginal lidocaine gel seems an acceptable analgesia alternative during oocyte retrieval.
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.
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Guillaume
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Schuller-Dufour
Service d'anesthésie, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Faitot
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Pirrello
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Rongières
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Ohl
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Nisand
Service d'aide médicale à la procréation, hôpitaux universitaires de Strasbourg CMCO, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.
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Bettahar
D000328:Adult; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000494:pharmacology*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000494:pharmacology*; D054315:Oocyte Retrieval / Q000379:methods*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D000071066:Patient Reported Outcome Measures; D014622:Vaginal Creams, Foams, and Jellies
D000779:Anesthetics, Local; D014622:Vaginal Creams, Foams, and Jellies; D008012:Lidocaine
Analgesia; Analgésie; Gel de lidocaine; Lidocaine gel; Oocyte retrieval; Ponction ovocytaire