[Pregnancy following intratubal gamete transfer by hysteroscopy]

The method of gamete intrafallopian transfer (GIFT) was first described by Asch and has since the been introduced into the treatment of sterility not caused by the tubes. Standard technique for this method is laparoscopy. We report on the first pregnancy in our hospital when gamete intrafallopian transfer was undertaken hysteroscopically, i.e. combined with a transvaginal ultrasound-guided puncture of follicles for obtaining oocytes. The procedure is described. The important aspects of this technique are discussed briefly and the advantages shown: Shorter duration of intervention, reduced traumatisation of the patient and the possibility of effecting the operation without anaesthesia. The stress resulting from this technique is hardly different from that during intratubal embryo transfer provided this too is effected with sonographically monitored transvaginal follicle puncture.