Office Hysteroscopy Versus Cervical Probing for Cervical Stenosis

Small-caliber Office Hysteroscopy Versus Blind Cervical Probing for Tight Primary Cervical Stenosis in Nulliparous Women: a Preliminary Study

This study aims to estimate if performing a small caliber office hysteroscopic cervical negotiation would succeed to bypass tight markedly stenotic cervix in comparison to blind cervical probing done under general anesthesia. Moreover, the investigators test the impact of drawing a detailed diagram after this procedure on the success of ET in participants with failed mock or actual trials of embryo transfer (ET).

It comprises 122 nulliprous women with failed cervical sounding on vaginal examination in the office. Participants were divided into 2 groups. Group A comprised 64 cases subjected to small-caliber office hysteroscopic cervical negotiation while 58 cases were subjected to cervical probing under general anesthesia. Main outcome measures included success to bypass primary cervical stenosis and complication rate

Inclusion Criteria:

• Nulliprous women.
• Failed cervical sounding on vaginal examination in the office.

Exclusion Criteria:

• Previous operation on the cervix.
• Use of any medication to prime the cervix (primary).
• Multiparity: weather delivered vaginally or by cesarean sectrion