Background: Cervical stenosis as a result of a loop excision procedure is a rare but late complication of this procedure. For women desiring pregnancy, in vitro fertilization (IVF) embryo transfer is very challenging. Case: A 35-year-old woman para 1001 presented with secondary amenorrhea from cervical stenosis 2 years after a normal spontaneous vaginal delivery, as a result of a loop excision procedure of the cervix performed 6 weeks postpartum. Results: Her cervical stenosis was resolved by a novel cervical procedure resulting in a successful transcervical IVF embryo transfer. Conclusions: Cervical factors accounts for 5% of all referrals for infertility. A novel procedure to resolve cervical stenosis and a resultant successful transcervical embryo transfer is reported. (J GYNCOL SURG 28:23)
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