CERVICAL CANAL SHAVING, INSTRUMENTAL IN IMPROVING IVF OUTCOMES

Main Article Content

Dr. Rajshree Gohadkar
Dr. Desh Deepak
Dr. Praneeta Singh

Abstract

The passage of the transfer catheter through the cervical canal is primarily a crucial challenge for a successful embryo trans- fer (ET) during in vitro fertilization (IVF) cycles. Patients scheduled for IVF/ICSI are subjected to MOCK Transfer (Trial Embryo transfer), to get an idea of the cervical anatomy. It can be extremely challenging and painful to navigate a catheter through the cervix in certain circumstances. Due to cervical stenosis or blockages, which pose a significant obstacle during ET, some women experience IVF failures. Cervical stenosis refers to the narrowing or closure of the cervix at the level of the internal OS, which obstructs the passage between the uterus and the vagina. Such a disorder affects the menstrual cycle as well as pregnancy in women and requires cervical dilatation. Simple cervical dilatation may lead to re-stenosis. Such patients espe- cially those undergoing IVF treatment are found to benefit by cervical shaving. Hence, this study aims to highlight the role of hysteroscopic cervical shaving, enabling smooth passage for ET in patients undergoing IVF, and eventually resulting in suc- cessful outcomes. This study focussed on women with a history of failed IVF attempt(s) in whom ET was extremely difficult and also those, who had failed MOCK transfer test. The study involved performing operative hysteroscopy with correction/ creation of a cervical tract. Ease of postoperative ET and successful outcome of IVF treatment after the hysteroscopic proce- dure were observed. Cervical canal shaving resulted in a markedly easier ET and better outcome.

Article Details

Section
CASE REPORTS: