P-299: Vaginal vs. abdominal ultrasound guidance for embryo transfer

Abstract

ObjectiveCorrect placement of the catheter in the uterus during embryo transfer (ET) is essential for a successful outcome. Abdominal ultrasound is primarily utilized to visualize the catheter during embryo transfer. Vaginal ultrasound is generally utilized in instances when there is difficulty visualizing the catheter with the abdominal ultrasound. The objective of this study is to compare the efficacy of abdominal ultrasound and vaginal ultrasound for catheter placement in the uterus during embryo transfer.DesignA retrospective study in a private ART center.Materials and methodsAll fresh autologous and donor invitro fertilization (IVF) cycles performed between January 1, 2005 and December 31, 2005 resulting in ultrasound guided embryo transfer (n=779) were included in this study. All transfers were performed by a single physician. Group 1 (n=690) had abdominal ultrasound guided ET and Group 2 (n=89) had vaginal ultrasound guided ET. Cycles resulting in positive hCG (>5MIU/mL) and Clinical Pregnancy (CP) rates for each group were determined and compared.ResultsTable 1 illustrates the summary of our findings.Tabled 1* Not statistically significant using Chi Squared testConclusionWe can therefore conclude that both catheter visualization methods are acceptable for ultrasound guided embryo transfer. ObjectiveCorrect placement of the catheter in the uterus during embryo transfer (ET) is essential for a successful outcome. Abdominal ultrasound is primarily utilized to visualize the catheter during embryo transfer. Vaginal ultrasound is generally utilized in instances when there is difficulty visualizing the catheter with the abdominal ultrasound. The objective of this study is to compare the efficacy of abdominal ultrasound and vaginal ultrasound for catheter placement in the uterus during embryo transfer. Correct placement of the catheter in the uterus during embryo transfer (ET) is essential for a successful outcome. Abdominal ultrasound is primarily utilized to visualize the catheter during embryo transfer. Vaginal ultrasound is generally utilized in instances when there is difficulty visualizing the catheter with the abdominal ultrasound. The objective of this study is to compare the efficacy of abdominal ultrasound and vaginal ultrasound for catheter placement in the uterus during embryo transfer. DesignA retrospective study in a private ART center. A retrospective study in a private ART center. Materials and methodsAll fresh autologous and donor invitro fertilization (IVF) cycles performed between January 1, 2005 and December 31, 2005 resulting in ultrasound guided embryo transfer (n=779) were included in this study. All transfers were performed by a single physician. Group 1 (n=690) had abdominal ultrasound guided ET and Group 2 (n=89) had vaginal ultrasound guided ET. Cycles resulting in positive hCG (>5MIU/mL) and Clinical Pregnancy (CP) rates for each group were determined and compared. All fresh autologous and donor invitro fertilization (IVF) cycles performed between January 1, 2005 and December 31, 2005 resulting in ultrasound guided embryo transfer (n=779) were included in this study. All transfers were performed by a single physician. Group 1 (n=690) had abdominal ultrasound guided ET and Group 2 (n=89) had vaginal ultrasound guided ET. Cycles resulting in positive hCG (>5MIU/mL) and Clinical Pregnancy (CP) rates for each group were determined and compared. ResultsTable 1 illustrates the summary of our findings.Tabled 1* Not statistically significant using Chi Squared test Table 1 illustrates the summary of our findings. * Not statistically significant using Chi Squared test ConclusionWe can therefore conclude that both catheter visualization methods are acceptable for ultrasound guided embryo transfer. We can therefore conclude that both catheter visualization methods are acceptable for ultrasound guided embryo transfer.