Giving ketorolac for pain after egg retrieval in fresh embryo transfer IVF cycles
Official title: Balancing Comfort and Success: Post-retrieval Ketorolac in Fresh Embryo Transfers
Run by University of Iowa · NCT07185724 · Data updated 2026-11-12
This trial tests whether a single IV dose of ketorolac given after egg retrieval helps control pain for people planning a day-5 fresh embryo transfer without lowering their chances of pregnancy.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 37 Years |
| Sex | Women only |
| Enrollment | 200 (estimated) |
| Sponsor | University of Iowa Academic / other |
| Locations | 1 site (Iowa City, Iowa) |
| Status | Recruiting |
| Started | November 8, 2025 |
| Main results expected | October 1, 2027 |
| Study ends | September 1, 2028 |
| Registry record updated | December 15, 2025 |
| Trial ID | NCT07185724 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
People having autologous IVF with a planned day-5 fresh embryo transfer, BMI below 50, and no medical allergy or contraindication to NSAIDs are eligible.
✕Probably not a fit
People with NSAID allergy or other contraindications to ketorolac, or those not planning a fresh transfer (for example freezing all embryos), are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a double-blind, randomized controlled trial comparing a single 30 mg IV dose of ketorolac given at the end of oocyte retrieval versus usual care without ketorolac. Participants are randomized 1:1 with block randomization while still under sedation, and all undergo standard IVF and a planned day-5 fresh embryo transfer. Study staff will collect clinical data and follow outcomes including post-operative pain, bleeding, and IVF success measures through medical record review for up to 45 weeks. The trial focuses on autologous IVF cycles and permits standard stimulation and insemination methods used at the center.
Why it matters
Potential benefit: If successful, patients could have better immediate pain relief after egg retrieval without reducing the chance of embryo implantation or pregnancy.
How similar studies have gone: Prior reviews and several recent studies have shown ketorolac provides improved pain control and no clear harm to IVF outcomes, though large randomized data specifically for fresh transfers remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * IVF utilizing autologous oocytes and all sperm sources * IVF cycles utilizing ICSI and standard insemination * Plan to transfer embryo on day 5 * BMI below 50 Exclusion Criteria: -allergies or medical contraindications to NSAIDs
Where it's running
-
UI Health Care Center for Advanced Reproductive Care
Iowa City, Iowa, United States Recruiting
Study contacts
- Study coordinator: Jessica Kresowik, MD
- Email: jessica-kresowik@uiowa.edu
- Phone: 563-355-2244
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Differential Granulosa Cell Transcriptome Profiling to Predict Ongoing Pregnancy
Aiming to see if differences in granulosa cell gene activity can predict ongoing pregnancy in IVF and oocyte donation with PGT-A.
-
Detoxify for IVF: Cutting Everyday Pollutants to Help Infertility
This study tests a guide to help IVF patients reduce everyday environmental pollutants and sees if it lowers chemical exposure in urine, blood, and follicular fluid.
-
Carnitine and related supplements before IVF to see if they improve oocytes and embryos
This trial tests whether taking a supplement mix that includes L-carnitine before IVF helps improve the number and quality of eggs and embryos and the chances of pregnancy for women undergoing IVF.
-
Higher or lower starting FSH dose for good-prognosis IVF with PPOS
This trial tests whether starting IVF stimulation with 225 IU or 300 IU of FSH improves oocyte and embryo outcomes in good-prognosis women using PPOS.
-
Environmental and lifestyle factors linked to ART success in infertility patients
This study follows 5,000 infertile men and women to see how environmental exposures and lifestyle relate to the success of assisted reproductive technology.
-
GnRH for luteal support in IVF with a GnRH antagonist protocol
This observational study tests whether using a GnRH agonist or vaginal progesterone as luteal support helps pregnant outcomes for women undergoing IVF with a GnRH antagonist protocol and fresh embryo transfer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.