Hysteroscopic cervical canal shaving: a new therapy for cervical stenosis before embryo transfer in patients undergoing in vitro fertilization.
OBJECTIVE
To report a case of cervical stenosis repaired by hysteroscopic cervical shaving that created a smooth passage for ET in a patient undergoing IVF.


METHODS
Case report.


METHODS
University-based IVF program.


METHODS
A woman with a history of multiple failed IVF attempts in whom ET was extremely difficult.


METHODS
Operative hysteroscopy with creation of a cervical tract.


METHODS
Ease of postoperative ET and outcome of IVF treatment after the hysteroscopic procedure.


RESULTS
Easy performance of ET and a resulting triplet pregnancy.


CONCLUSIONS
This novel hysteroscopic repair of cervical stenosis resulted in a markedly easier ET and a viable pregnancy.
Noyes
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Program for In Vitro Fertilization, Reproductive Surgery and Infertility, New York University Medical Center, New York 10016, USA.
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D003251:Constriction, Pathologic / Q000150:complications / Q000628:therapy; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology* / Q000628:therapy*