Abstract

Background: Recent reports have suggested that ultrasound-guided embryo transfer (UG-ET) might improve pregnancy rates. Objective: To determine whether transabdominal UG-ET is a useful tool for increasing pregnancy and implantation rates in patients undergoing IVF or ICSI. Materials and Methods: A prospective randomized clinical trial was conducted in 180 patients in order to compare embryo transfer under abdominal ultrasound-guidance (n=90) with embryo transfer by clinical touch method (n=90). Results: The Clinical pregnancy rate was 21.1 in the ultrasound-guided group and 15.5 in the clinical touch group (p=03). The implantation rate in the ultrasound guided group was 11.1 while this was 7.2 in the clinical touch group (p=0.12). The percentage of difficult transfer was not significantly different in both groups, this was 8.9 in the ultrasound-guided group and 13.3 in the clinical touch group (P=0.47). Conclusions: Although the clinical pregnancy and implantation rate are higher in UGET group than the clinical touch group, but this difference was not statistically significant.