Читать книгу Assisted Reproduction Techniques - Группа авторов - Страница 212

Many women presenting for IVF have had attempts at cervical instrumentation in the past. This includes HSG, hysteroscopy, intrauterine insemination (IUI) or even previous ET. It is important to ask specifically about any history of difficulty in instrumenting the cervix. The woman may have been told about this by her clinician or may recall difficult, painful or prolonged attempts. All these are indicators that there might be cervical stenosis. History of previous cervical surgery is also significant. However, history of dysmenorrhea is very common, rendering it an inaccurate indicator of cervical stenosis.