Cervical dilatation during ovum pick-up in patients with cervical stenosis: Effect on pregnancy outcome in an in vitro fertilization-embryo transfer program

Asnat Groutz, Israel Yovel, Joseph B. Lessing, Foad Azem, Yoram Wolf, Ami Amit*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Objective: To evaluate the results of cervical dilatation during an ovum pick-up session in patients with cervical stenosis who participated in an IVF-ET program. Design: A retrospective study. Setting: In vitro fertilization-ET unit. Patient(s): Forty-one treatment cycles in 22 patients with known cervical stenosis. In all patients previous transcervical ET had been either extremely difficult or impossible. Intervention(s): Cervical dilatation under general anesthesia during an ovum pick-up session, 48 hours before transcervical ET. Main Outcome Measure(s): Ease of ET procedure and clinical pregnancy rate (PR). Result(s): Cervical dilatation was performed in 41 IVF-ET cycles and resulted in easier transcervical ET in 39 cycles, but only one clinical and one extrauterine pregnancy. Conclusion(s): Cervical dilatation during the ovum pick-up session leads to easier ET in patients with cervical stenosis, but PRs after this procedure are very low.

Original languageEnglish
Pages (from-to)909-911
Number of pages3
JournalFertility and Sterility
Volume67
Issue number5
DOIs
StatePublished - May 1997

Keywords

  • ET
  • IVF
  • cervical stenosis

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