title: Successful twin delivery following transmyometrial embryo transfer in a patient with a false uterine cavity.
abstract: A successful pregnancy is the greatest goal for reproductive medicine. The probability that pregnancy occurs during a cycle of assisted reproduction is a function of multiple factors, of which embryo transfer is one of the most critical steps in these treatments. This article reports a case of successful pregnancy and twin delivery by transmyometrial embryo transfer after IVF in a woman with a neocavity parallel to the uterine cavity, which prevented the transfer of embryos to the correct place. The patient first went to another fertility centre where embryo transfer was impossible to perform because the cervix could not be canalized. Subsequently in this study clinic, after considering the difficulty of inserting a catheter into the endometrial cavity, a trial transfer was performed, which discovered a false route parallel to endometrial cavity. Following a first cycle in which conventional transcervical embryo transfer was performed, a transmyometrial embryo transfer was carried out and the patient became pregnant with twins. In cases where transcervical embryo transfer is very difficult or impossible to perform, the value of transmyometrial transfer is self-evident.
authors.affiliation: Instituto Valenciano de Infertilidad, IVI Alicante, Spain. Electronic address: Manuel.Munoz@ivi.es.
authors.forename: Manuel
authors.initials: M
authors.lastname: Muñoz
authors.affiliation: Instituto Valenciano de Infertilidad, IVI Alicante, Spain.
authors.forename: Noemí
authors.initials: N
authors.lastname: Galindo
authors.affiliation: Instituto Valenciano de Infertilidad, IVI Alicante, Spain.
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Pérez-Cano
authors.affiliation: Instituto Valenciano de Infertilidad, IVI Madrid, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Cruz
authors.affiliation: Instituto Valenciano de Infertilidad, IVI Madrid, Spain.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: García-Velasco
mesh_terms: D000328:Adult; D002404:Catheterization / Q000379:methods; D004624:Embryo Transfer / Q000379:methods*; D004958:Estradiol / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D009215:Myometrium / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D014599:Uterus / Q000002:abnormalities*
chemical_list: D004958:Estradiol
keywords: Towako; difficult transfer; embryo transfer technique; false uterine cavity; successful pregnancy; transmyometrial embryo transfer