Use of phenazopyridine for reducing discomfort during embryo transfer.

Abstract:

OBJECTIVE:The embryo transfer is a critical part of in vitro fertilization. When performed under abdominal ultrasound guidance, the embryo transfer procedure requires a full bladder. Patients often state that the discomfort of the distended bladder causes more pain than the actual transfer procedure. Phenazopyridine HCl is a bladder analgesic. The objective of this study was to determine if a single dose of phenazopyridine prior to embryo transfer reduces patient discomfort during that procedure. DESIGN:Prospective randomized double-blinded clinical trial. SETTING:University-based Reproductive Medicine practice. PATIENT(S):Eighty-five reproductive age infertile women undergoing in vitro fertilization. INTERVENTION(S):Phenazopyridine (200 mg) or placebo taken 1 hour prior to embryo transfer utilizing transabdominal sonography. MAIN OUTCOME MEASURE(S):Pain as assessed by visual analogue pain scale and physician and nurse assessment of patient discomfort. RESULT(S):Study groups were similar in their demographic background. Mean pain score as assessed by a visual analogue pain scale during the procedure was 2.95 +/- 2.4 in the placebo group, and 3.03 +/- 2.6 in the active medication group (NS). There were also no significant differences in the observations of pain assessments. CONCLUSION(S):Phenazopyridine used in a single dose prior to embryo transfer does not alleviate patient discomfort.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Frishman GN,Allsworth JE,Gannon JB,Wright KP

doi

10.1016/j.fertnstert.2006.08.097

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

1010-4

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(06)04412-8

journal_volume

87

pub_type

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