Background:
Smooth atraumatic embryo transfer is paramount for the success of in-vitro fertilization (IVF). In difficult cases, cervical canal manipulation may be required.
Aim:
To see if surgical correction of the cervical canal or cervical canal refashioning could improve ease of embryo transfer.
Setting:
Private infertility and IVF hospital.
Design:
Prospective study.
Patients:
11 women with failed 1-3 IVF cycles with history of extremely difficult embryo transfers (ETs) despite undergoing cervical dilatation in the cycle prior to IVF.
Interventions:
Operative hysteroscopy using Versapoint for refashioning of the cervical canal.
Main outcome measures:
Ease of ET in the subsequent IVF cycle. Secondary outcome measure was to assess reproductive outcome.
Results:
Easy and atraumatic ET in the IVF cycle after procedure in 100% patients. PR was 46.5%.
Conclusions:
Use of Versapoint for refashioning the cervical canal can improve the quality of ET and PR.