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Chapter 31 - Does dummy embryo transfer help?

from Section 6 - Embryo transfer

Published online by Cambridge University Press:  05 July 2011

Gab Kovacs
Affiliation:
Monash University, Victoria
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Summary

The dummy embryo transfer (ET) before the actual one, has been shown to improve the pregnancy rates. It also helps in choosing the most suitable kind of catheter to be used. Proper evaluation of the cervico-uterine angle and determining how much curvature is needed for the catheter should be done before loading the embryos. That is why it is important to perform a dummy ET right before the actual one and revise the previously performed ultrasound picture of the uterus. It has been demonstrated that curving the ET catheter according to the cervico-uterine angle improves the clinical pregnancy rate. One method to facilitate introduction of the catheter is simply by gentle maneuvering of the vaginal speculum. Using a malleable stylet to place the outer sheath correctly and negotiate the cervical canal before introducing the soft catheter was found to have no negative impact on implantation and delivery rates.
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How to Improve your ART Success Rates
An Evidence-Based Review of Adjuncts to IVF
, pp. 165 - 167
Publisher: Cambridge University Press
Print publication year: 2011

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