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. 1997 May;67(5):909-11.
doi: 10.1016/s0015-0282(97)81405-7.

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

A Groutz  1 , J B Lessing, Y Wolf, I Yovel, F Azem, A Amit
Affiliations
Free article

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

A Groutz et al. Fertil Steril. 1997 May.
Free article

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.

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