Hysteroscopic cervical canal shaving: a new therapy for cervical stenosis before embryo transfer in patients undergoing in vitro fertilization.

OBJECTIVE

To report a case of cervical stenosis repaired by hysteroscopic cervical shaving that created a smooth passage for ET in a patient undergoing IVF.

DESIGN

Case report.

SETTING

University-based IVF program.

PATIENT(S): A woman with a history of multiple failed IVF attempts in whom ET was extremely difficult.

INTERVENTION(S): Operative hysteroscopy with creation of a cervical tract.

MAIN OUTCOME MEASURE(S): Ease of postoperative ET and outcome of IVF treatment after the hysteroscopic procedure.

RESULT(S): Easy performance of ET and a resulting triplet pregnancy.

CONCLUSION(S): This novel hysteroscopic repair of cervical stenosis resulted in a markedly easier ET and a viable pregnancy.