Ultrasound and hysteroscopic findings in women with a history of difficult embryo transfers

Marikinti, Karunakar; Mathews, T J; Ball, Jeanice R.; Brinsden, Peter

doi:10.1016/s0015-0282(03)01201-9

Cited by 4 publications

(3 citation statements)

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“…The same group, in another study, reported a higher incidence of hysteroscopically visible anatomical abnormalities (23 out of 30) in the cervico-uterine canal (angulations, synechiae, false passages, cysts, polyps and hypertrophied endocervical mucosa) and a higher incidence of bleeding from the endocervix following an embryo transfer trial in those women who had a history of diffi cult embryo transfer (Marikinti et al, 2003b). Murray et al (2003), similarly assessed by hysteroscopy the presence and severity of endometrial lesions immediately after a trial embryo transfer using a soft catheter in 30 women.…”

Section: Discussionmentioning

confidence: 88%

Assessment of endocervical and endometrial damage inflicted by embryo transfer trial: a hysteroscopic evaluation

Cevrioğlu

Esinler

Bozdağ

et al. 2006

Reproductive BioMedicine Online

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The aim was to assess the endocervical and endometrial damage inflicted by embryo transfer trial using office hysteroscopy. Seventy-five consecutive infertile women who underwent office hysteroscopy were enrolled. Hysteroscopy was performed immediately after embryo transfer trial. The relationship between clinical perception of easiness of transfer, presence of blood on the catheter, degree of endocervical and endometrial damage was examined. In the difficult transfer group, minor and moderate endocervical lesions were noted in 35% and 24% of the cases, respectively. The respective figures for the easy transfer group were 19% and 3% (P>.05). There was a statistically significant concordance between the perceived difficulty of transfer and degree of endometrial damage (P<0.05). Of interest, in the easy transfer group, 32% of the patients had minor, 3% moderate and 65% no endometrial damage. The respective figures were 42%, 29% and 29% in the difficult transfer group. There was blood on the catheter in 25%, 56% and 71% of the easy, moderate and difficult transfer groups, respectively. There was a statistically significant concordance between the perceived difficulty of embryo transfer and presence of blood on the catheter (P<0.05). These results suggest that clinical perception of difficulty of transfer and the presence of blood on the catheter are directly associated with endometrial disruption.

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Section: Discussionmentioning

confidence: 88%

Assessment of endocervical and endometrial damage inflicted by embryo transfer trial: a hysteroscopic evaluation

Cevrioğlu

Esinler

Bozdağ

et al. 2006

Reproductive BioMedicine Online

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“…The problem behind difficult ET in most studies was found to be due to acute flexion or deflexion of the cervical canal or internal trauma to the endocervix or the endometrium resulted from previous surgeries, infection or mock ET. Cervical stenosis wasn't a finding in these cases [7]. Different maneuvers were tried to overcome difficult transfer; when patent tubes are present, zygote intrafallopian transfer is an excellent way in cases of failed or difficult cervical transfer [8].…”

Section: Introductionmentioning

confidence: 99%

Office Hysteroscopy in Difficult Embryo Transfer; Case Report of Three Cases

El‐Mahdy¹,

Salam²,

Kobeisy³

2016

OJOG

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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.

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“…On the fertility side, difficult embryo transfer has been associated with lower pregnancy rates after assisted reproduction treatment [1][2][3]. Such difficulty could be due to different causes including acute anteflexion or retroflexion of the uterus [4]. Such acute angulation might not be corrected by having a full bladder, especially if the body of the uterus is acutely retroflexed.…”

Section: Introductionmentioning

confidence: 99%

Predictors of acute cervicouterine angulation in patients scheduled for gynaecological or infertility intrauterine office procedures

Abdel-Gadir¹,

Oyawoye

Chander³

2009

Gynecol Surg

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The purpose behind this observational study was to find whether age, parity, ethnicity, uterine position or the mode of presentation (infertility or gynaecological) could be used to predict acute cervicouterine angulation (ACUA) before intrauterine office surgical procedures. Uterine version, flexion and ACUA were recorded after transvaginal scanning in 914 patients and during subsequent examinations in a subgroup of 422 patients. ACUA was tested against presentation, age, parity, ethnicity and uterine position using chi-square and logistic regression. A two-tailed p value <0.05 was considered significant. One hundred and forty-two of 667 nulliparous (21.30%) and 23 of 247 (9.3%) parous women showed ACUA (p< 0.001), which persisted during repeated examinations. More patients with anteflexed (153/767, 19.9%) than retroflexed uteri (12/147, 8.2%) had ACUA p<0.001. It was more common in Afro-Caribbean (39/179, 21.8%) and Middle East women (37/129, 28.7%) than Caucasians (89/606, 14.7%; p=0.001). Age and presentation were not significant. Accordingly, ACUA should be considered before office intrauterine surgical procedures in nulliparous patients, especially those with anteflexed uteri. We debate the clinical implications of ethnicity.

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Ultrasound and hysteroscopic findings in women with a history of difficult embryo transfers

Cited by 4 publications

References 0 publications

Assessment of endocervical and endometrial damage inflicted by embryo transfer trial: a hysteroscopic evaluation

Assessment of endocervical and endometrial damage inflicted by embryo transfer trial: a hysteroscopic evaluation

Office Hysteroscopy in Difficult Embryo Transfer; Case Report of Three Cases

Predictors of acute cervicouterine angulation in patients scheduled for gynaecological or infertility intrauterine office procedures

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