Our expert says:
My first recommendation is to continue pursuing the AI method (IUI). There are several different methods of inserting the catheter and I would suggest that a few mock attempts be made to establish the exact anatomical distortion. It is extremely unlikely that the encirclage is causing the significant stenosis (tightness) of the canal. More likely it is distortion due to scar tissue formation and this can readily be overcome with the correct type of catheter or guide. Should this not be successful after 3 attempts then perhaps a look at limited stimulation tubal embryo transfer might be the better option.
Answered by: Dr M.I. Cassim
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