JLE

Médecine Thérapeutique / médecine de la reproduction

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Limits in assisted reproductive techniques for clinicians Volume 9, issue 6, Novembre-Décembre 2007

Author
Service de Gynécologie Endocrinienne et Médecine de la Reproduction, Hôpital Jeanne de Flandre, avenue Eugène Avinée, 59037 Lille Cedex

In some situations, the ovarian puncture might be technically difficult, incomplete, and even impossible and/or it exposes to a greater infection risk. An ultrasound evaluation of ovarian accessibility is necessary before starting an IVF attempt, especially in case of overweight or history of abdominal and/or pelvic surgery, or endometriosis, or tubal abnormalities or myomas. Total failure of transfer is exceptional but more or less difficult transfers are not rare. A fake transfer should be performed during the cycle preceding the IVF attempt. This allows anticipating difficulties and proposing options that are more often efficient.