Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 419-426

Comparison between transvaginal and transabdominal ultrasound-guided embryo transfer: a randomized, prospective trial

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shebeen El-Kom, Egypt
2 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Shreef S Menshawi
Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shebeen El-Kom
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_24_19

Rights and Permissions

Objective The aim of this study was to compare between transvaginal ultrasound (TVS) and transabdominal ultrasound (TAS)-guided embryo transfer (ET) as regards clinical pregnancy rate, patient discomfort, time required for ET, and endometrial visualization during ET. Background ET is an operator, and equipment-dependent procedure. Ultrasound-guided ET allows placing embryos at the desired level within the endometrial cavity. Patients and methods This randomized, prospective trial included 178 infertile couples from Al Shatbi Reproductive Gynecology Unit in Alexandria University Hospital, during the period between June 2016 and May 2018. The patients were divided randomly prior to ET into two equal groups: the first group used TAS guidance for ET and the second group used the TVS guidance for ET. Results The clinical pregnancy rate showed no statistical differences in both groups: 39/89 (43.8%) versus 42/89 (47.2%) (P = 0.652). The mean discomfort intensity during ET was significantly higher in TAS-guided ET group (1.81 ± 1.03 vs. 1.50 ± 0.92) (P = 0.040). The ET took longer time in the transvaginal group. Median 66.0 versus 60.0 s in the transabdominal group (P = 0.125). The optimal endometrial visualization during ET was statistically higher in the transvaginal group: 25 (28.1%) and 45 (50.6%) (P = 0.002). Conclusion There was no significant difference between TVS-guided ET and TAS-guided ET as regards the clinical pregnancy rate. Although the TVS-guided ET took longer time, it allowed less patient discomfort and better endometrial visualization during ET.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded35    
    Comments [Add]    

Recommend this journal