BMJ Case Reports 2009; doi:10.1136/bcr.10.2008.1069
  • Reminder of important clinical lesson

Successful IVF pregnancy after radical trachelectomy using transabdominal cervico isthmic cerclage

  1. Suresh Kini,
  2. Asif Raja,
  3. Nawal Dayoub,
  4. Joo Thong
  1. Royal Infirmary of Edinburgh, Assisted Conception Programme, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, EH164SA, UK
  1. Kini Suresh, kinisuresh{at}
  • Published 17 March 2009


A 34-year-old woman was referred to the in vitro fertilisation (IVF) clinic following failure to conceive after ovulation induction with antioestrogens and intrauterine insemination. She had a long history of hypothalamic amenorrhoea secondary to weight loss and stress and received hormone replacement to maintain her bone density. She also underwent radical trachelectomy and bilateral laparoscopic pelvic node dissection as fertility sparing surgery for cancer of the cervix stage 1B. She remained under our care for 4 years during which she had two successful IVF pregnancies with elective single embryo transfers on both occasions. She delivered preterm by caesarean section at 31 weeks and 35 weeks, respectively, for premature rupture of membranes with good outcomes. There was no evidence of local or distant recurrence of her early cervical cancer at 10-year follow-up at the combined gynaecology oncology clinic and she was discharged to primary care for follow-up.


  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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