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. Author manuscript; available in PMC: 2014 Jun 30.
Published in final edited form as: Fertil Steril. 2012 Nov 6;99(2):558–564. doi: 10.1016/j.fertnstert.2012.10.027

TABLE 1.

Studies investigating the region-specific implantation frequency of blastocysts within the endometrial cavity

Study Hertig 1956 Kawakami 1993 Minami 2003 Cavagna 2006
Design Anatomic dissection of 211 hysterectomy specimens derived from women of known fertility; a subset of which were derived from women during the luteal phase with early pregnancies, some having already implanted 2-Dimensional Transvaginal Ultrasonography on fertility clinic patients during the follicular phase and prior to 6 weeks gestation dated by basal body temperature 3-Dimensional Transvaginal Ultrasonography on unselected women with gestational sacs measuring 3-6mm 3-Dimensional Transvaginal Ultrasonography performed 21-24 days after embryo transfer (ET) on women with singleton pregnancies having undergone ICSI and ultrasound-guided ET intentionally directed to the midpoint between the internal os and fundus
Sample size Conception 26 spontaneous 21 spontaneous 138 spontaneous 47 assisted
Fundus (midline) 100% in upper cavity: 58% ipsilateral to corpus luteum 4% midline 38% contralateral to corpus luteum Upper versus middle cavity not specified: 81% ipsilateral to dominant follicle 14% midline 5% contralateral to dominant follicle 16% 34%
Left Cornu 39% 15%
Right Cornu 34% 17%
Anterior Body 9% middle cavity region 30% middle cavity region
Posterior Body
Lower uterine Segment 2% 4%