Cervical dilatation during ovum pick-up in patients with cervical stenosis: effect on pregnancy outcome in an in vitro fertilization-embryo transfer program.
OBJECTIVE
To evaluate the results of cervical dilatation during an ovum pick-up session in patients with cervical stenosis who participated in an IVF-ET program.


METHODS
A retrospective study.


METHODS
In vitro fertilization-ET unit.


METHODS
Forty-one treatment cycles in 22 patients with known cervical stenosis. In all patients previous transcervical ET had been either extremely difficult or impossible.


METHODS
Cervical dilatation under general anesthesia during an ovum pick-up session, 48 hours before transcervical ET.


METHODS
Ease of ET procedure and clinical pregnancy rate (PR).


RESULTS
Cervical dilatation was performed in 41 IVF-ET cycles and resulted in easier transcervical ET in 39 cycles, but only one clinical and one extrauterine pregnancy.


CONCLUSIONS
Cervical dilatation during the ovum pick-up session leads to easier ET in patients with cervical stenosis, but PRs after this procedure are very low.
Groutz
A
A
IVF-ET Unit, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Israel.
Lessing
J B
JB
Wolf
Y
Y
Yovel
I
I
Azem
F
F
Amit
A
A
D000328:Adult; D003251:Constriction, Pathologic / Q000628:therapy; D004106:Dilatation; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007246:Infertility / Q000628:therapy; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D002577:Uterine Cervical Diseases / Q000628:therapy*