Transrectal vs. transvaginal oocyte retrieval in patients requesting egg freezing for fertility preservation: a prospective observational study - Scorecard - MDSpire

Transrectal vs. transvaginal oocyte retrieval in patients requesting egg freezing for fertility preservation: a prospective observational study

  • By

  • Nagwan Ahmed Bahgat

  • Shamia Mohamedain Abdelgadir Younis

  • Rehaballa Mohamed Alkatary

  • Abdallah Mohammed Ahmed Ibrahim Mohammed

  • Elsamwael Elhakim

  • Mahmoud Thabet

  • Rayan G. Albarakati

  • Dalia Mahmoud Abdelmonem Elsherbini

  • July 3, 2026

  • 0 min

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Clinical Scorecard: Comparative Analysis of Transrectal and Transvaginal Oocyte Retrieval Techniques for Egg Freezing in Fertility Preservation: A Prospective Observational Study

At a Glance

CategoryDetail
ConditionOocyte Retrieval Techniques
Key MechanismsTransrectal ultrasound-assisted retrieval vs. transvaginal ultrasound-guided aspiration.
Target PopulationWomen requiring oocyte cryopreservation, particularly those with intact hymens.
Care SettingFertility preservation procedures.

Key Highlights

  • Transvaginal oocyte retrieval is the standard method.
  • Transrectal oocyte retrieval is a safe alternative for patients with intact hymens.
  • Oocyte count negatively correlates with age and BMI.
  • AMH levels positively correlate with oocyte retrieval success.
  • Oocyte freezing can be performed for up to ten years.

Guideline-Based Recommendations

Diagnosis

  • Assess ovarian reserve through AMH levels and other factors.

Management

  • Utilize transvaginal retrieval as the primary method unless contraindicated.

Monitoring & Follow-up

  • Monitor oocyte count and quality during retrieval procedures.

Risks

  • Consider potential complications with alternative retrieval methods.

Patient & Prescribing Data

Women of reproductive age considering fertility preservation.

Timing of oocyte freezing cycles should be based on individual patient circumstances.

Clinical Best Practices

  • Initiate oocyte freezing cycles as soon as possible for cancer patients.
  • Use vitrification for optimal oocyte preservation.

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