Comparison of transmyometrial and transcervical embryo transfer in patients with previously failed in vitro fertilization-embryo transfer cycles and/or cervical stenosis.
OBJECTIVE
To compare ultrasound-guided transmyometrial and transcervical ET in patients with cervical stenosis or in patients who failed to conceive after at least three previous IVF-ET cycles.


METHODS
A prospective, randomized study.


METHODS
The IVF-ET Unit at Serlin Maternity Hospital.


METHODS
Forty patients undergoing IVF-ET.


METHODS
Ultrasound-guided transvaginal, transmyometrial, versus transcervical ET.


METHODS
Clinical pregnancy rate.


RESULTS
Transmyometrial ET was performed in 20 patients and resulted in one clinical pregnancy. Transcervical ET, performed in another 20 similar patients, resulted in three clinical pregnancies.


CONCLUSIONS
No benefit was derived by electing transmyometrial ET in preference to transcervical ET in patients who had failed to conceive in previous cycles.
Groutz
A
A
IVF-ET Unit, Serlin Maternity Hospital, Tel Aviv, Israel.
Lessing
J B
JB
Wolf
Y
Y
Azem
F
F
Yovel
I
I
Amit
A
A
D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging; D004624:Embryo Transfer / Q000379:methods*; D004958:Estradiol / Q000097:blood; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008597:Menstrual Cycle; D009215:Myometrium / Q000000981:diagnostic imaging; D011247:Pregnancy; D011446:Prospective Studies; D017211:Treatment Failure; D016896:Treatment Outcome; D014463:Ultrasonography; D002577:Uterine Cervical Diseases
D004958:Estradiol