Reproductive outcomes - VRT
In the VRT group, data on reproductive outcomes were available for 29 of the 34 patients. Among those, 28 patients reported to have either an active or future desire for parenthood and 24 patients had attempted to conceive.
12 of the 24 patients who attempted conception (50.0%) experienced difficulty conceiving for which they consulted a reproductive specialist. Causes for difficulties conceiving included cervical stenosis in 4 (33.3%) patients, male factor in 2 (16.7%) patients, tubal pathology in 1 (8.3%) patient or unknown fertility problems in 5 (41.7%) patients. Among the patients with cervical stenosis, 2 patients presented with dysmenorrhea and hematometra whereas 2 patients were asymptomatic. All underwent isthmic dilatation procedures for reproductive purposes which succeeded in 2 patients. The remaining 2 patients experienced persistent stenosis of the cervical ostium and ultimately received experimental transmyometral embryotransfers resulting in an ongoing pregnancy in 1 patient. To date, 5 patients (41.7%) who experienced difficulties conceiving and consulted a reproductive specialist, have ultimately conceived through ART while 7 patients (58.3%) are still attempting conception via ART or naturally.
So far, a total of 15 patients conceived a total of 21 pregnancies following VRT, yielding a pregnancy rate of 62.5%. Reproductive, obstetric and neonatal outcomes are presented in Table II andTable III respectively. A total of 15 pregnancies reached the third trimester (75.0%) and resulted in 15 healthy babies. All women delivered via cesarean sections, which were scheduled between 38 and 39+0 weeks. There were no fetal losses or neonatal complications identified in our study cohort.