Striving for Egg-Cellence: Step-by-Step Guide to Oocyte Pick Up

Background: Oocyte pick up (OPU) involves the suction aspiration of ovarian follicles following controlled ovarian stimulation, via an ultrasound guided needle through the vaginal fornices1. There is international recognition of a lack of training tools in OPU, highlighting opportunity for technology and simulation to be further developed1. Aim: Here we provide a step-by-step approach to performing transvaginal ultrasound guided OPU with supporting video demonstration. Result: Interviews and procedural observation was undertaken with four fertility specialists performing OPU at a single IVF centre. Routine practice was combined with tips and tricks into a step-by-step guide to OPU. Step one covers procedural planning, patient identification and vaginal preparation. Step two discusses the gentle and steady techniques for optimal follicle aspiration, Step three highlights the important steps required for the care of the oocyte to ensure the best outcomes. Conclusion: A meticulous approach to the retrieval of oocyte is paramount to maintaining their quality; maximising training tools for technique is therefore essential1.