Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 210

Khaldoun Sharif

Fertility Center, Jordan Hospital, Amman, Jordan

Case History 1: A couple was referred for IVF with a 5‐year history of tubal infertility. Previously, an attempt at hysterosalpingography was unsuccessful, as the catheter could not be passed through the cervix. Following that, she had laparoscopy and hysteroscopy. Hysteroscopy was not possible as the scope could not be passed through the cervix, even after attempts at cervical dilatation. Also, no catheter could be inserted to inject dye. Laparoscopy showed moderate to server pelvic adhesions. There was no history of previous cervical surgery.

Case History 2: A 38‐year‐old patient, who underwent radical vaginal trachelectomy at the age of 33 years for early stage (IA2) cervical adenocarcinoma, presented with a 3‐year history of primary infertility due to low sperm count. The couple was referred for ICSI.

Case History 3: A couple was referred for IVF with a 4‐year history of unexplained infertility. Ten oocytes were collected, six fertilized and one good blastocyst was planned for transfer on day 5. However, on attempting the transfer, the catheter could not be passed more than 0.5cm through the cervical canal.