What should you know about transmyometrial embryo transfer?

In a conventional transfer, a catheter travels through the vagina and cervix into the uterine cavity. With a transmyometrial approach, the clinician creates a controlled path through the uterine muscle to reach the cavity. Ultrasound guidance may help plan and monitor the route. It is considered when cervical anatomy, scarring or a previous difficult transfer makes the usual path unsuitable.

The embryo is prepared through an IVF cycle and released into the uterus. The technique is individualised, and the fertility team explains why it is being considered, what anaesthesia or sedation is planned, and how the uterine lining will be supported.

Ask the clinic about fasting, medicines, transport home and whether sedation means you should avoid driving. Follow instructions for progesterone or other prescribed support, including [Micronised Progesterone](/materials/micronised-progesterone/). Rest according to your team's advice, keep the follow-up appointment and wait for the scheduled pregnancy test.

Do not stop prescribed medicines because of light spotting or mild cramps without speaking to the clinic. Your clinician can explain activity limits and which pain relief is suitable for you.

Call the fertility team for increasing pelvic pain, fever, heavy bleeding, unusual discharge or difficulty passing urine. Seek emergency care for severe pain, fainting, breathing difficulty or rapidly increasing abdominal swelling. Mention the procedure when you contact another healthcare service.

Ask why this route is recommended, what imaging or anaesthesia will be used, how the uterine lining is prepared, which symptoms are expected, and when the pregnancy test and review will occur.