Received May 05, 2024
Accepted August 30, 2024

Objective: This study seeks to point out the need to identify the feeling of helplessness present in the frailties and vulnerabilities of patients who undergo assisted reproduction procedures in the outpatient operating room environment. Methods: A prospective study of care and psychological interventions performed in the outpatient surgical center (OSC) of the assisted reproduction clinic from January 2019 to December 2022. Patients are first attended by the nursing staff. After an anamnesis with the anesthesiologist and the attending physician, the psychoanalyst presents herself and asks consent for listening/speaking, before, during and after the procedure. Results: 1011interviews were performed by the psychoanalyst, which correspond to 47% of 2149 OSC procedures performed in the clinic during the study period. The psychoanalyst was present in 595 IVF/ICSI (60%) of 1000 procedures and 110 from 396 oocyte cryopreservation (28%), 306 (41%) from 753 transfers. Patients observations were written in their medical records. Relevant points were shared and discussed with the staff directly. Conclusions: Patients speech addressed to the psychoanalyst or to the multidisciplinary team in this environment contains the utterance of their feelings, conscious and unconscious, that affect their psyche. So, the feeling of helplessness, expressed and enunciated in the statements and conducts of patients as well as the team, may go unnoticed and not receiving the necessary care. In the OSC environment they are confronted with the reality that they would so much like to avoid, that is, to use the AR technique to achieve an unconsummated desire – pregnancy.