Use of Versapoint to refashion the cervical canal to overcome unusually difficult embryo transfers and improve in-vitro fertilization-embryo transfer outcome: A case series.

BackgroundSmooth atraumatic embryo transfer is paramount for the success of in-vitro fertilization (IVF). In difficult cases, cervical canal manipulation may be required.AimTo see if surgical correction of the cervical canal or cervical canal refashioning could improve ease of embryo transfer.SettingPrivate infertility and IVF hospital.DesignProspective study.Materials and methodsPatients11 women with failed 1-3 IVF cycles with history of extremely difficult embryo transfers (ETs) despite undergoing cervical dilatation in the cycle prior to IVF.InterventionsOperative hysteroscopy using Versapoint for refashioning of the cervical canal.Main outcome measuresEase of ET in the subsequent IVF cycle. Secondary outcome measure was to assess reproductive outcome.ResultsEasy and atraumatic ET in the IVF cycle after procedure in 100% patients. PR was 46.5%.ConclusionsUse of Versapoint for refashioning the cervical canal can improve the quality of ET and PR.