title: Transmyometrial embryo transfer after difficult immediate mock transcervical transfer.
abstract: OBJECTIVE
  To evaluate the place of ultrasound-directed transvaginal transmyometrial ET in a protocol using both the transcervical and transmyometrial routes in a step-wise fashion.
  
  
  METHODS
  A prospective descriptive clinical study.
  
  
  METHODS
  A university-based assisted conception unit.
  
  
  METHODS
  Thirteen patients who had difficult or impossible mock transcervical ET immediately before the real transfer.
  
  
  METHODS
  Ultrasound-directed transvaginal transmyometrial ET.
  
  
  METHODS
  Pregnancy and clinical pregnancy.
  
  
  RESULTS
  Four patients became pregnant, including three with clinical pregnancies.
  
  
  CONCLUSIONS
  In cases in which transcervical ET isd difficult or impossible, transvaginal transmyometrial ET is a viable option. The use of mock transcervical ET immediately before the real transfer would identify patients needing transmyometrial ET.
authors.affiliation: Assisted Conception Unit, University of Birmingham, Birmingham Maternity Hospital, United Kingdom.
authors.forename: K
authors.initials: K
authors.lastname: Sharif
authors.forename: M
authors.initials: M
authors.lastname: Afnan
authors.forename: W
authors.initials: W
authors.lastname: Lenton
authors.forename: D
authors.initials: D
authors.lastname: Bilalis
authors.forename: M
authors.initials: M
authors.lastname: Hunjan
authors.forename: Y
authors.initials: Y
authors.lastname: Khalaf
mesh_terms: D002584:Cervix Uteri; D004624:Embryo Transfer / Q000379:methods*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D009215:Myometrium; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D014463:Ultrasonography