Embryo transfer failure stems from multiple factors: embryo quality accounts for about 60%, uterine lining issues for 30%, and the remaining causes are unexplained.

If an embryo transfer fails once and uterine lining preparation was optimal, the primary suspected cause is often the embryo. However, if two or more transfers fail, considering the uterine lining as a potential cause becomes necessary. In such cases, a hysteroscopy is indicated. This procedure allows doctors to directly observe the inside of the uterus, enabling accurate diagnosis and treatment of abnormalities that standard ultrasound might miss.

A doctor performs a hysteroscopy to diagnose the cause of infertility. Photo: IVF Tam Anh

Beyond multiple failed embryo transfers, hysteroscopy is also used for treatment when uterine lesions are suspected to cause infertility. These conditions include uterine polyps, uterine fibroids, and intrauterine adhesions.

As hysteroscopy is an invasive procedure performed under anesthesia, it is not routinely applied. In your case, My, with only one failed embryo transfer, an immediate hysteroscopy is not yet necessary. It is advisable to continue monitoring and adhere to your doctor's treatment protocol.

At the Reproductive Support Center, Tam Anh General Hospital, TP HCM, patients undergoing hysteroscopy complete the procedure and return home on the same day. During the hysteroscopy, if any abnormalities are observed, doctors address these lesions and perform an endometrial biopsy for histopathological analysis to aid in diagnosis and subsequent treatment planning.

Dr. Nguyen Thi Thuy

Reproductive Support Center

Tam Anh General Hospital, TP HCM

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