OBJECTIVE: To evaluate the place of ultrasound-directed transvaginal transmyometrial ET in a protocol using both the transcervical and transmyometrial routes in a step-wise fashion. DESIGN: A prospective descriptive clinical study. SETTING: A university-based assisted conception unit. PATIENTS: Thirteen patients who had difficult or impossible mock transcervical ET immediately before the real transfer. INTERVENTION: Ultrasound-directed transvaginal transmyometrial ET. MAIN OUTCOME MEASURES: Pregnancy and clinical pregnancy. RESULTS: Four patients became pregnant, including three with clinical pregnancies. CONCLUSIONS: In cases in which transcervical ET isd difficult or impossible, transvaginal transmyometrial ET is a viable option. The use of mock transcervical ET immediately before the real transfer would identify patients needing transmyometrial ET.
OBJECTIVE: To evaluate the place of ultrasound-directed transvaginal transmyometrial ET in a protocol using both the transcervical and transmyometrial routes in a step-wise fashion. DESIGN: A prospective descriptive clinical study. SETTING: A university-based assisted conception unit. PATIENTS: Thirteen patients who had difficult or impossible mock transcervical ET immediately before the real transfer. INTERVENTION: Ultrasound-directed transvaginal transmyometrial ET. MAIN OUTCOME MEASURES: Pregnancy and clinical pregnancy. RESULTS: Four patients became pregnant, including three with clinical pregnancies. CONCLUSIONS: In cases in which transcervical ET isd difficult or impossible, transvaginal transmyometrial ET is a viable option. The use of mock transcervical ET immediately before the real transfer would identify patients needing transmyometrial ET.