title: Successful pregnancy following assisted reproduction and transmyometrial embryo transfer in a patient with anatomical distortion of the cervical canal.
abstract: Abstract Presented is the case report of a patient noted to have gross distortion of the internal cervical canal during her attempt at embryo transfer following an in vitro fertilization with intracytoplasmic sperm injection (IVF-ICSI) procedure. Multiple attempts at cervical dilation were unsuccessful and the patient was ultimately treated by transmyometrial embryo transfer also known as the Towako method. She successfully achieved a singleton pregnancy and delivered at 41 weeks by primary cesarean section because of arrest of cervical dilation. Transmyometrial embryo transfer represents a viable option for patients with cervical stenosis refractory to conventional methods of navigation or severe anatomical distortion of the internal cervical canal.
authors.affiliation: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Columbia University Medical Center , New York , USA.
authors.forename: Chantae S
authors.initials: CS
authors.lastname: Sullivan-Pyke
authors.forename: Daniel H
authors.initials: DH
authors.lastname: Kort
authors.forename: Mark V
authors.initials: MV
authors.lastname: Sauer
authors.forename: Nataki C
authors.initials: NC
authors.lastname: Douglas
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000502:physiology; D004106:Dilatation; D004624:Embryo Transfer / Q000379:methods*; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D007247:Infertility, Female / Q000188:drug therapy; D009215:Myometrium; D011247:Pregnancy; D011256:Pregnancy Outcome; D027724:Reproductive Techniques, Assisted; D020554:Sperm Injections, Intracytoplasmic / Q000379:methods
keywords: Assisted reproduction; embryo transfer; transmyometrial