Abstract
Objectives: To facilitate embryo transfer technique in cases with previous failed or difficult transfer using office hysteroscopy. Study Design: Case report of 3 cases of previous difficult embryo transfer (ET). Methods: Hysteroscopic assisted insertion of cervical stent at the end of withdrawal bleeding in the stimulation cycle. This stent was used as a track for embryo transfer catheter. Results: One case cancelled before (embryo transfer) ET and the other 2 cases didn’t get pregnant in spite of easy embryo transfer. Conclusion: This hysteroscopic assisted ET technique may facilitate ET technique in cases with difficult embryo transfer due to deformed cervix.
Highlights
Embryo transfer is a crucial step in the process of ICSI
Study Design Case report of 3 cases of previous difficult embryo transfer due to abnormal cervical canal associated with irregular track or acute angulation of the cervix
Difficult embryo transfer is a problem that affects the outcome of IVF and ICSI cases
Summary
Embryo transfer is a crucial step in the process of (intra cytoplasmic sperm injection) ICSI. Difficult embryo transfers significantly diminish the pregnancy and implantation rates in patients undergoing ICSI [5]. Difficult embryo transfer was found to be associated with higher incidence of ectopic pregnancy than cases with easy transfer especially when the patient has a history of tubal damage or previous EP [6]. Hysteroscopy played a role in these cases such as hysteroscopic examination and placement of a Malecot catheter is a useful technique that allows easier transcervical ET in cases that have been difficult. This procedure may lead to improved pregnancy rates [11]. Hysteroscopic guided embryo transfer was successful in some cases [13]
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