Preoperative Indomethacin and Paracetamol for Pain Management During Oocyte Retrieval in IVF Patients

Inclusion Criteria: * Women undergoing oocyte retrieval for IVF or ICSI * Age 18-45 years * ASA physical status classification I or II * Willing and able to provide written informed consent Exclusion Criteria: * Known allergy or hypersensitivity to Indomethacin, any NSAID, or Paracetamol * History of gastrointestinal bleeding or peptic ulceration * Renal impairment (GFR \< 30 ml/min/1.73m² or Creatinine \> 1.04 mg/dL) * Hepatic impairment (ALT \> 55 U/L, AST \> upper limit of normal, ALP \> upper limit of normal, Total Bilirubin \> 1.2 mg/dL, or Albumin \< 3.5 g/dL) * Participation in another clinical trial that may interfere with the outcomes of this study