 --%3E%3Csvg version='1.1' id='Lager_1' xmlns='http://www.w3.org/2000/svg' xmlns:xlink='http://www.w3.org/1999/xlink' x='0px' y='0px' viewBox='0 0 1500 371.7' style='enable-background:new 0 0 1500 371.7%3B' xml:space='preserve'%3E%3Cstyle type='text/css'%3E.st0%7Bfill:%23005EA8%3B%7D%3C/style%3E%3Cg%3E%3Cpath class='st0' d='M237.9 12.6h-89.8v8.9l1.8 0.3c19.6 3 28.5 6.5 32 12.6c1.3 2.2 1.9 4.9 1.9 8.2c0 11.3-7.2 29.4-19 58.8c0 0-28.2 71.2-35.8 90.3c-3.6-9.2-47.8-121.4-47.8-121.4l-1.9-4.7c-3.2-8-6.8-16.7-6.8-24.1c0-3.1 0.6-5.9 2.1-8.4c3.6-6 12.5-9.8 26.3-11.3l1.9-0.2v-9H0v8.9l1.9 0.2c25.4 3 32.5 21.2 41.4 44.2l1 2.6c0 0 70.8 178.5 70.8 178.5h7.2l59.9-150.7l2.8-6.8c17.1-42.2 26.5-65.5 53-67.9l1.9-0.2v-9H237.9z'/%3E%3Cpath class='st0' d='M243.4 87.4l-40.9 14.9v6l1 0.6c18 11 18 14.4 18 27.3v63.2c-0.3 25.2-1 27.6-22.5 31l-1.8 0.3v8.9h76.7v-8.9l-1.8-0.3c-21.6-3.4-22.5-4.5-22.5-31V89.3l-5.5-2.1L243.4 87.4z'/%3E%3Cpath class='st0' d='M216.2 59.3c0 10.4 8.1 18.8 18 18.8c9.9 0 18-8.4 18-18.8c0-10.4-8.1-18.8-18-18.8C224.3 40.5 216.2 49 216.2 59.3'/%3E%3Cpath class='st0' d='M324.9 59.8h-3.7l-45.4 47.4l3.1 4.7h19.8v86.9c0 0 0 5.8 0 6.9c0 13.1 0.5 23.5 7.1 30.1c4.8 4.8 12.3 7.1 23.7 7.1c15.7 0 32.1-3.5 49.9-10.6l1.7-0.7l-2.2-9.2l-2.1 0.6c-5.3 1.5-11.3 2.2-17.8 2.2c-32.1 0-32.1-17.1-32.1-45.4v-68h49.1v-18H327V59.8H324.9z'/%3E%3Cpath class='st0' d='M433.7 87.4l-38.4 14.9v5.8l0.8 0.6c14.4 10.9 14.4 14.4 14.4 27.3v63.3c-0.3 25.2-0.9 27.6-20.9 31l-1.8 0.3v8.8h82v-8.9l-1.9-0.2c-29.2-3.5-29.2-5.6-29.2-31v-33.1l0-1.1c-0.3-17.4 2.2-46.8 22.4-48.8c5.2-0.5 11.7 4.9 16.5 8.8l3 2.4l1.2-0.6c8.4-4.2 17.3-13.1 17.3-22.5c0-10-7.6-17.2-18-17.2c-18.4 0-33.8 17.8-42.1 33.3c0.3-10.5 1-31.3 1-31.3l-5.6-2.1L433.7 87.4z'/%3E%3Cpath class='st0' d='M534.9 163.4c0-31.2 14.1-64.7 45.2-64.7c33.3 0 45.8 42.3 45.8 68.9c0 24.6-11.8 63.7-43.3 63.7C549.7 231.4 534.9 191.6 534.9 163.4 M501.7 165.7c0 45.4 32.3 77.1 78.6 77.1c44.1 0 78.7-34.4 78.7-78.4c0-45.4-32.2-77.1-78.3-77.1C535.7 87.3 501.7 121 501.7 165.7'/%3E%3Cpath class='st0' d='M710.6 0.3l-37.1 15V21l0.9 0.6c14.4 10.9 14.4 14.4 14.4 27.3v150.4c-0.3 25.2-1 27.6-22.5 31l-1.8 0.3v8.9h76.7v-8.9l-1.8-0.3c-21.6-3.4-22.5-4.5-22.5-31V2.1L711.4 0L710.6 0.3z'/%3E%3Cpath class='st0' d='M793.9 87.4L753 102.3v6l1 0.6c18 11 18 14.4 18 27.3v63.2c-0.3 25.2-1 27.6-22.5 31l-1.8 0.3v8.9h76.7v-8.9l-1.8-0.3c-21.6-3.4-22.5-4.5-22.5-31V89.3l-5.5-2.1L793.9 87.4z'/%3E%3Cpath class='st0' d='M766.7 59.3c0 10.4 8.1 18.8 18 18.8c9.9 0 18-8.4 18-18.8c0-10.4-8.1-18.8-18-18.8C774.7 40.5 766.7 49 766.7 59.3'/%3E%3Cpath class='st0' d='M868.3 36.2c-10.5 17.6-12.3 36.1-12.7 53.6c-1.8 1.1-25.3 15.4-25.3 15.4v6.6h25.2v87.6c-0.3 25.2-1 27.6-23.1 31l-1.8 0.3v8.9h82.9v-8.9l-1.9-0.2c-28-3.5-28-5.6-28-31v-87.6h40.4v-18h-40.4V76.3c0-23.1 3.2-61.7 24.9-61.7c14.2 0 27.4 17.4 32.5 24.9l0.6 0.9l1.1 0c6.2 0.2 11.5-1.5 15-4.8c2.9-2.8 4.4-6.5 4.4-11.1c0-17.8-23.4-24.4-38.2-24.4C902.7 0.2 881.9 13.7 868.3 36.2'/%3E%3Cpath class='st0' d='M987.7 98.7c14.1 0 22.2 14 25.3 28c-4.5 0.2-49.3 2.2-54.3 2.4C962.4 114.5 971.9 98.7 987.7 98.7 M925.2 168c0 42.7 29 74.8 67.4 74.8c23.1 0 45.7-15 59.1-39.1l0.9-1.6l-7.9-6.1l-1.3 1.8c-9.7 13.6-20.5 19.7-35 19.7c-14.5 0-27.2-5.5-36.9-16c-10.2-11-15.9-26.2-15.9-42.5c0-1.7 0.1-3.4 0.2-5.1c0 0 0.9-11.4 1.1-14.4h90.5l-0.1-2.2c-1.3-30.5-20.9-50.2-50-50.2C956.2 87.3 925.2 122 925.2 168'/%3E%3Cpath class='st0' d='M1436.4 173.1c0.6-90.8 69.3-98.9 63.2-133.3c-7.7-43.9-149-57.6-253.8-9.8c-36 16.4-67.6 33.7-98.5 57.3c-7.3 5.8-9.5 12.6-10 19.2c0.5 38.6 11.9 74.6 31.1 105.1c6-8.3 12.5-17 18.6-25.1c19.6-25.8 23.2-31.2 57.9-58.8c69.5-55.2 178.1-83.1 186.1-59.1c7.9 23.8-37.2 42.7-37.2 107.2c0 43.2 21.1 73.5 39.6 91.8v0c11 9.9 14.9 6.4 22.3 2.1c0.5-0.3 1-0.5 1.4-0.6c13-9.2 24.9-20 35.4-31.9C1459.4 223.9 1436.2 205 1436.4 173.1'/%3E%3C/g%3E%3Cg%3E%3Cpolygon points='950.2 360.9 937.6 329.4 930.1 329.4 947.5 370.8 952.7 370.8 970.1 329.4 962.7 329.4 '/%3E%3Crect x='980.2' y='329.4' width='6.6' height='41.5'/%3E%3Cpolygon points='994.8 335.2 1006.1 335.2 1006.1 370.8 1012.7 370.8 1012.7 335.2 1024 335.2 1024 329.4 994.8 329.4 '/%3E%3Cpath d='M1056.4 351.5c1.5-1.1 2.6-2.5 3.4-4.2c0.8-1.7 1.2-3.6 1.2-5.7c0-2.5-0.6-4.7-1.7-6.6c-1.1-1.8-2.7-3.2-4.8-4.2c-2-1-4.5-1.5-7.2-1.5h-12.9v41.5h6.6v-16.3h2.9l12.4 16.3h8.3l-13.6-17C1053.1 353.4 1054.9 352.6 1056.4 351.5z M1045.4 349h-4.4v-14.4h4.4c2.8 0 4.9 0.6 6.5 1.9c1.5 1.3 2.3 3 2.3 5.3c0 1.5-0.4 2.8-1.1 3.9c-0.7 1.1-1.7 1.9-3 2.5C1048.8 348.7 1047.2 349 1045.4 349z'/%3E%3Cpath d='M1107 334.9c-1.9-2-4.1-3.5-6.7-4.6c-2.5-1.1-5.2-1.7-8.1-1.7c-2.9 0-5.6 0.6-8.1 1.7c-2.5 1.1-4.7 2.6-6.7 4.6c-1.9 2-3.4 4.3-4.5 6.9c-1.1 2.6-1.6 5.4-1.6 8.4c0 3 0.5 5.8 1.6 8.4c1.1 2.6 2.6 4.9 4.5 6.9c1.9 2 4.1 3.5 6.7 4.6c2.5 1.1 5.2 1.7 8.1 1.7c2.9 0 5.6-0.6 8.1-1.7c2.5-1.1 4.8-2.6 6.7-4.6c1.9-2 3.4-4.3 4.5-6.9c1.1-2.6 1.6-5.4 1.6-8.4c0-3-0.5-5.8-1.6-8.4C1110.4 339.1 1108.9 336.9 1107 334.9z M1105 356.2c-0.7 1.9-1.7 3.5-2.9 4.8c-1.2 1.4-2.7 2.4-4.4 3.2c-1.7 0.8-3.5 1.1-5.5 1.1c-2 0-3.8-0.4-5.5-1.1s-3.1-1.8-4.4-3.2c-1.2-1.4-2.2-3-2.9-4.8c-0.7-1.9-1-3.9-1-6c0-2.2 0.3-4.2 1-6c0.7-1.8 1.7-3.4 2.9-4.8s2.7-2.4 4.4-3.2c1.7-0.8 3.5-1.1 5.5-1.1c2 0 3.8 0.4 5.5 1.1c1.7 0.8 3.2 1.8 4.4 3.2c1.2 1.4 2.2 3 2.9 4.8c0.7 1.8 1 3.9 1 6C1106 352.3 1105.6 354.3 1105 356.2z'/%3E%3Cpolygon points='1131.7 329.4 1125.1 329.4 1125.1 370.8 1147.5 370.8 1147.5 365.1 1131.7 365.1 '/%3E%3Crect x='1158' y='329.4' width='6.6' height='41.5'/%3E%3Cpolygon points='1179.4 370.8 1186 370.8 1186 353 1200.8 353 1200.8 347.2 1186 347.2 1186 335.2 1201.9 335.2 1201.9 329.4 1179.4 329.4 '/%3E%3Cpolygon points='1213.6 370.8 1235.9 370.8 1235.9 365.1 1220.2 365.1 1220.2 353 1235.3 353 1235.3 347.2 1220.2 347.2 1220.2 335.2 1235.9 335.2 1235.9 329.4 1213.6 329.4 '/%3E%3Cpath d='M1282.6 354.2h12.5v0.9c0 1.6-0.3 3-1 4.3c-0.7 1.3-1.6 2.4-2.7 3.3c-1.1 0.9-2.4 1.7-3.9 2.2c-1.4 0.5-2.9 0.8-4.5 0.8c-1.9 0-3.7-0.4-5.3-1.2c-1.6-0.8-3.1-1.9-4.3-3.3c-1.2-1.4-2.2-3.1-2.9-5c-0.7-1.9-1-4-1-6.3c0-2.1 0.3-4.1 0.9-6c0.6-1.9 1.5-3.5 2.7-4.9c1.2-1.4 2.6-2.5 4.3-3.3c1.7-0.8 3.7-1.2 5.9-1.2c2.3 0 4.5 0.4 6.7 1.3c2.2 0.9 4 2 5.5 3.6l3.2-5.1c-1.3-1.2-2.8-2.2-4.5-3.1c-1.7-0.8-3.4-1.5-5.3-1.9c-1.9-0.4-3.8-0.7-5.7-0.7c-3.2 0-6.1 0.6-8.7 1.7c-2.6 1.2-4.8 2.7-6.6 4.7c-1.8 2-3.2 4.3-4.2 6.9c-1 2.6-1.4 5.3-1.4 8.2c0 3.1 0.5 5.9 1.6 8.5c1 2.6 2.5 4.9 4.3 6.9c1.9 2 4 3.5 6.5 4.6c2.5 1.1 5.1 1.6 8 1.6c2.4 0 4.7-0.4 7-1.2c2.3-0.8 4.3-1.9 6.1-3.4c1.8-1.5 3.3-3.3 4.3-5.5c1.1-2.1 1.6-4.5 1.6-7.2V349h-19.2V354.2z'/%3E%3Cpath d='M1335.6 351.5c1.5-1.1 2.6-2.5 3.4-4.2c0.8-1.7 1.2-3.6 1.2-5.7c0-2.5-0.6-4.7-1.7-6.6c-1.1-1.8-2.7-3.2-4.8-4.2c-2-1-4.5-1.5-7.2-1.5h-12.9v41.5h6.6v-16.3h2.9l12.4 16.3h8.3l-13.6-17C1332.3 353.4 1334.1 352.6 1335.6 351.5z M1324.6 349h-4.4v-14.4h4.4c2.8 0 4.9 0.6 6.5 1.9c1.5 1.3 2.3 3 2.3 5.3c0 1.5-0.4 2.8-1.1 3.9c-0.7 1.1-1.7 1.9-3 2.5C1328 348.7 1326.4 349 1324.6 349z'/%3E%3Cpath d='M1386.2 334.9c-1.9-2-4.1-3.5-6.7-4.6c-2.5-1.1-5.2-1.7-8.1-1.7c-2.9 0-5.6 0.6-8.1 1.7c-2.5 1.1-4.7 2.6-6.7 4.6c-1.9 2-3.4 4.3-4.5 6.9c-1.1 2.6-1.6 5.4-1.6 8.4c0 3 0.5 5.8 1.6 8.4c1.1 2.6 2.6 4.9 4.5 6.9c1.9 2 4.1 3.5 6.7 4.6c2.5 1.1 5.2 1.7 8.1 1.7c2.9 0 5.6-0.6 8.1-1.7c2.5-1.1 4.8-2.6 6.7-4.6c1.9-2 3.4-4.3 4.5-6.9c1.1-2.6 1.6-5.4 1.6-8.4c0-3-0.5-5.8-1.6-8.4C1389.6 339.1 1388.1 336.9 1386.2 334.9z M1384.2 356.2c-0.7 1.9-1.7 3.5-2.9 4.8c-1.2 1.4-2.7 2.4-4.4 3.2s-3.5 1.1-5.5 1.1c-2 0-3.8-0.4-5.5-1.1s-3.1-1.8-4.4-3.2c-1.2-1.4-2.2-3-2.9-4.8c-0.7-1.9-1-3.9-1-6c0-2.2 0.3-4.2 1-6c0.7-1.8 1.7-3.4 2.9-4.8c1.2-1.4 2.7-2.4 4.4-3.2c1.7-0.8 3.5-1.1 5.5-1.1c2 0 3.8 0.4 5.5 1.1c1.7 0.8 3.2 1.8 4.4 3.2c1.2 1.4 2.2 3 2.9 4.8c0.7 1.8 1 3.9 1 6C1385.2 352.3 1384.9 354.3 1384.2 356.2z'/%3E%3Cpath d='M1427.6 354.3c0 3.8-0.7 6.6-2.1 8.3c-1.4 1.7-3.6 2.6-6.6 2.6c-3 0-5.2-0.9-6.6-2.6c-1.4-1.7-2.1-4.5-2.1-8.3v-24.9h-6.6v26.7c0 5.1 1.3 9 3.9 11.6c2.6 2.6 6.4 3.9 11.4 3.9c5.1 0 8.9-1.3 11.4-3.9c2.6-2.6 3.8-6.5 3.8-11.6v-26.7h-6.6V354.3z'/%3E%3Cpath d='M1468.5 330.8c-2.1-0.9-4.4-1.4-7.1-1.4h-12.9v41.5h6.6v-16.5h6.3c2.7 0 5.1-0.5 7.1-1.5c2.1-1 3.7-2.5 4.8-4.4c1.2-1.9 1.7-4.2 1.7-6.8c0-2.7-0.6-4.9-1.7-6.7C1472.1 333.1 1470.5 331.7 1468.5 330.8z M1467 345.8c-0.8 1.1-1.8 1.9-3.1 2.4c-1.3 0.5-2.8 0.8-4.5 0.8h-4.4v-14.4h4.4c1.7 0 3.1 0.3 4.5 0.8c1.3 0.5 2.4 1.3 3.1 2.4c0.8 1.1 1.2 2.4 1.2 4C1468.2 343.4 1467.8 344.8 1467 345.8z'/%3E%3Cpolygon points='1492.3 329.4 1490.8 329.4 1489 334.3 1487.1 329.4 1485.7 329.4 1484.9 336.9 1486.3 336.9 1486.8 331.8 1488.6 336.7 1489.4 336.7 1491.2 331.8 1491.7 336.9 1493 336.9 '/%3E%3Cpolygon points='1479.5 330.6 1481.4 330.6 1481.4 336.9 1482.8 336.9 1482.8 330.6 1484.7 330.6 1484.7 329.4 1479.5 329.4 '/%3E%3Cpath d='M664.5 370.9v-41.6h10.8c2.7 0 5.1 0.5 7.1 1.4c2 0.9 3.5 2.3 4.6 4c1.1 1.7 1.6 3.8 1.6 6.3c0 2.4-0.5 4.6-1.6 6.4c-1.1 1.8-2.6 3.3-4.6 4.3c-2 1-4.3 1.5-7.1 1.5h-7v17.6H664.5z M668.3 350.1h6c2.1 0 3.9-0.4 5.4-1.1c1.5-0.7 2.7-1.8 3.6-3.1c0.8-1.3 1.3-2.9 1.3-4.7c0-1.8-0.4-3.4-1.3-4.7c-0.8-1.3-2-2.3-3.6-3c-1.5-0.7-3.3-1-5.4-1h-6V350.1z'/%3E%3Cpath d='M694.4 370.9l16.4-41.6h3.6l16.3 41.6h-4.1l-5.1-13.2h-17.9l-5.1 13.2H694.4z M705 354.3h15.3l-7.6-19.9L705 354.3z'/%3E%3Cpath d='M743 370.9v-41.6h10.8c2.7 0 5.1 0.5 7.1 1.4c2 0.9 3.5 2.3 4.6 4c1.1 1.8 1.6 3.9 1.6 6.3c0 2.2-0.5 4.2-1.4 5.9c-0.9 1.7-2.2 3.1-3.9 4.1c-1.7 1-3.7 1.7-6 1.9l13.8 17.9h-4.9l-13.2-17.5h-4.7v17.5H743z M746.8 350.1h6c2.1 0 3.9-0.4 5.5-1.1c1.5-0.7 2.7-1.8 3.5-3.1c0.8-1.3 1.2-2.9 1.2-4.7c0-2.7-0.9-4.9-2.7-6.4c-1.8-1.5-4.3-2.3-7.5-2.3h-6V350.1z'/%3E%3Cpath d='M787.7 370.9v-38.1H775v-3.5h29.2v3.5h-12.7v38.1H787.7z'/%3E%3Cpath d='M850.7 371.7c-2.9 0-5.6-0.6-8.2-1.7c-2.5-1.1-4.8-2.6-6.7-4.6c-1.9-2-3.4-4.3-4.5-6.9c-1.1-2.6-1.6-5.4-1.6-8.4c0-3 0.5-5.8 1.6-8.4c1.1-2.6 2.6-4.9 4.5-6.9c1.9-2 4.1-3.5 6.7-4.6c2.5-1.1 5.3-1.7 8.2-1.7c2.9 0 5.6 0.6 8.2 1.7c2.5 1.1 4.8 2.6 6.7 4.6c1.9 2 3.4 4.3 4.5 6.9c1.1 2.6 1.6 5.4 1.6 8.4c0 3-0.5 5.8-1.6 8.4c-1.1 2.6-2.6 4.9-4.5 6.9c-1.9 2-4.1 3.5-6.7 4.6C856.3 371.2 853.6 371.7 850.7 371.7z M850.7 368c2.4 0 4.6-0.5 6.6-1.4c2-0.9 3.8-2.2 5.4-3.8c1.5-1.6 2.7-3.5 3.6-5.7c0.9-2.2 1.3-4.5 1.3-7s-0.4-4.8-1.3-7c-0.9-2.2-2.1-4.1-3.6-5.7c-1.5-1.6-3.3-2.9-5.4-3.8c-2-0.9-4.2-1.4-6.6-1.4s-4.6 0.5-6.6 1.4c-2 0.9-3.8 2.2-5.4 3.8c-1.5 1.6-2.7 3.5-3.6 5.7c-0.9 2.2-1.3 4.5-1.3 7s0.4 4.8 1.3 7c0.9 2.2 2.1 4.1 3.6 5.7c1.5 1.6 3.3 2.9 5.4 3.8C846.1 367.6 848.3 368 850.7 368z'/%3E%3Cpolygon points='906.4 332.7 906.4 329.4 885.4 329.4 885.4 370.9 889.2 370.9 889.2 351.8 905.3 351.8 905.3 348.4 889.2 348.4 889.2 332.7 '/%3E%3C/g%3E%3C/svg%3E)
Local anesthesia combined with conscious sedation is the preferred method for oocyte retrieval at the IVF clinic Fertilitetscentrum in Sweden. Dr. Matts Wikland, MD, PhD, Associate Professor explains why.
Safe, simple and quick oocyte retrieval
Oocyte retrieval is an invasive procedure, which is usually also associated with anxiety and stress for the patient. That is why the aim of the procedure is to perform it with as little pain as possible while securing as many oocytes as possible.
There are three ways to perform the oocyte retrieval procedure:
1. With general anesthesia
2. With local anesthesia
3. With local anesthesia combined with conscious sedation
According to Dr. Matts Wikland, the third option is most beneficial for the patient. When using local anesthesia combined with conscious sedation, there is no risk for respiratory or cardiovascular effects as there is with general anesthesia. At the same time, the pain is reduced and the recovery time is faster. There are also benefits for the clinic by using this method. It is quicker and requires less resources compared to general anesthesia.
Watch the full story:
Successful oocyte retrieval for the patient and for you
Using local anesthesia and conscious sedation during oocyte retrieval is the standard method in Sweden as well as in the rest of Scandinavia. The method is beneficial, both for the patient and for the clinic. Fertilitetscentrum participated in a randomised controlled study that set out to examine if pain and bleeding during oocyte retrieval could be reduced. The results showed that by using a specially designed needle both pain and bleeding were reduced compared to a standard oocyte retrieval needle.
Topics: Oocyte retrieval