pregnancy through assisted conception after radical trachelectomy: a case report

Introduction: trachelectomy, a conservative surgery in the early stages of cervical cancer, allows young women to keep their fertility. infertility after such a surgery is frequent, and many couples should opt for assisted reproduction. objectives: this case report aims to present a successful pregnancy in a woman with a history of cervical cancer and complete removal of the uterine cervix through trachelectomy. case presentation: a successful pregnancy is described after two failed attempts of embryo transfer (et) in a 32-year-old woman with a history of trachelectomy due to stage ia invasive squamous cell carcinoma of the cervix. before and after radical trachelectomy, she received adjuvant chemotherapy. in her second course of in-vitro fertilization, after amock transfer at the time of ovum pickup with 11 oocytes and 7-day 3 embryos, her third et cycle under ultrasound guide was successful. during pregnancy, in the first-trimester screening, nuchal translucency was reported to be 4.5 mm. therefore, chorionic villous sampling and comparative genomic hybridization cgh-array were performed before preparing for abdominal cerclage at 14 weeks. further screening tests were normal. finally, she delivered a 2430 g healthy baby girl through cesarean section at 37 weeks. conclusions: the mock transfer and ultrasound-guided et are suggested for women with a history of trachelectomy.