Opioid Use Clinical Trial
Official title:
Effect of Fentanyl on Expression of Main Opioid Receptor (OPRM1) on Human Granulosa Cells During Ultrasound-guided Transvaginal Oocyte Retrieval.
Opioids is known that produce not only analgesia but also hyperalgesia through activation of
central glutaminergic system-GABA. At the same time, recently it was found that the main
opioid receptor (OPRM1) is present on human granulosa cells and exogenous opiates and their
antagonists can influence granulosa cell vascular endothelial growth factor (VEGF) production
via OPRM1, causing ovarian hyperstimulation syndrome.
This study aims to investigate if a single exposure to opioids is enough to produce
activation of stress mechanism during oocyte retrieval.
The main opioid receptor (OPRM1) is present on human granulosa cells and exogenous opiates
and their antagonists can influence granulosa cell vascular endothelial growth factor (VEGF)
production via OPRM1, causing ovarian hyperstimulation syndrome.
This study aims to investigate if a single exposure to opioids is enough to produce
activation of stress mechanism during ultrasound-guided oocyte retrieval. It will be measured
the level of cortisone before and 15min after iv administration of fentanyl on blood and on
oocyte fluid.
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