title: Use of Versapoint to refashion the cervical canal to overcome unusually difficult embryo transfers and improve in-vitro fertilization-embryo transfer outcome: A case series.
abstract: BACKGROUND
  Smooth atraumatic embryo transfer is paramount for the success of in-vitro fertilization (IVF). In difficult cases, cervical canal manipulation may be required.
  
  
  OBJECTIVE
  To see if surgical correction of the cervical canal or cervical canal refashioning could improve ease of embryo transfer.
  
  
  METHODS
  Private infertility and IVF hospital.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  
  
  
  METHODS
  11 women with failed 1-3 IVF cycles with history of extremely difficult embryo transfers (ETs) despite undergoing cervical dilatation in the cycle prior to IVF.
  
  
  METHODS
  Operative hysteroscopy using Versapoint for refashioning of the cervical canal.
  
  
  METHODS
  Ease of ET in the subsequent IVF cycle. Secondary outcome measure was to assess reproductive outcome.
  
  
  RESULTS
  Easy and atraumatic ET in the IVF cycle after procedure in 100% patients. PR was 46.5%.
  
  
  CONCLUSIONS
  Use of Versapoint for refashioning the cervical canal can improve the quality of ET and PR.
authors.affiliation: Department of Infertility and IVF, Mother and Child Hospital, New Delhi, India.
authors.forename: Nalini
authors.initials: N
authors.lastname: Mahajan
authors.forename: Ila
authors.initials: I
authors.lastname: Gupta