ABSTRACT
Transvaginal ultrasound-guided oocyte retrieval is the gold standard for in vitro
fertilization (IVF) treatment. Despite its relative safety, oocyte retrieval is associated
with risk to the adjacent pelvic organs, bleeding, and pelvic infection. The embryo
transfer (ET) procedure is considered a crucial step in an IVF cycle. The success
of the ET is dependent upon multiple factors including embryo quality, proper endometrial
receptivity, and the technique by which the embryos are transferred. Optimizing the
technique of ET would therefore provide the best chance for pregnancy. No standard
evidence-based protocol exists, but ET with ultrasound guidance has been shown to
significantly increase the chance of embryo implantation, an ongoing pregnancy, and
a live birth and to improve the ease of transfer. Identifying appropriate ultrasound-guided
simulation training techniques in ET would ensure adequate fellowship training without
affecting the outcome of assisted reproductive technology cycles.
KEYWORDS
Ultrasound - ultrasound guidance - oocyte retrieval - embryo transfer
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Misty Blanchette PorterM.D.
Division of Reproductive Medicine, Departments of Obstetrics and Gynecology and Radiology,
Dartmouth-Hitchcock Medical Center
1 Medical Center Drive, Lebanon, NH 03756
Email: Misty.B.Porter@Hitchcock.org