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Variables That Affect a Successful Embryo Transfer

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Human Embryo Transfer

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Abstract

Despite its apparent simplicity, embryo transfer is affected by many variables. Randomized controlled trials have shown that some of these variables are associated with significantly higher clinical pregnancy rates. These include ultrasound guidance during transfer, mid-fundal deposition of the embryos, performing the transfer with a full bladder and using a soft catheter rather than a rigid one (unless ultrasound guidance is used). Difficult transfers and cervical infection diminish the clinical pregnancy rate significantly, while bed rest, sexual intercourse, presence of air in the catheter, use of a fibrin sealant, performing the transfer under the effect of acupuncture or in the lithotomy (rather than the knee-chest) position and the routine use of antibiotics have no affect on the outcome.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Alexandria University, Alexandria, Egypt

    Hassan N. Sallam MD, FRCOG, PhD

  2. Assisted Reproduction Unit, Alexandria Fertility Center, Alexandria, Egypt

    Nooman H. Sallam MB, BCh

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  1. Hassan N. Sallam MD, FRCOG, PhD
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Correspondence to Hassan N. Sallam MD, FRCOG, PhD .

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Editors and Affiliations

  1. Rotunda - Blue Fertility Clinic & Keyhole Surgery Center, Medical Director, Rotunda- The Center for Human Reproduction, Mumbai, India

    Gautam N. Allahbadia

  2. Director of Matercell, Department of Reproductive Medicine, Center for Studies in Genetics and Reproduction, Buenos Aires, Argentina

    Claudio F. Chillik

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Sallam, H.N., Sallam, N.H. (2015). Variables That Affect a Successful Embryo Transfer. In: Allahbadia, G., Chillik, C. (eds) Human Embryo Transfer. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1115-0_5

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  • DOI: https://doi.org/10.1007/978-81-322-1115-0_5

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