Abstract Objective: This study compares the predictive value of mock embryo transfer (MET) and hysteroscopy-assisted mock embryo transfer (HA-MET). Materials and Methods: This is a single-center retrospective cohort study conducted between November 2022 and 2025, involving 151 participants at Pink Petals Fertility Clinic, Enugu, Nigeria, who were grouped into MET and HA-MET. The primary outcome was ease of embryo transfer/Difficult (ETs), the secondary outcome measures were positive pregnancy test, live birth rate, and miscarriage. Results: A total of 151 patients were analyzed (Mock ET = 75, hysteroscopy-assisted ET =76). There was no statistically significant difference in ease of ET between groups ( p = 0.384). Clinical pregnancy rates were 46.7% for Mock ET and 55.3% for hysteroscopy-assisted ET ( p = 0.291), while live birth rates were 38.7% and 32.9%, respectively ( p = 0.459), and miscarriage rates (6.7% vs. 15.8%, p = 0.149) also showed no significant differences. Conclusion: Hysteroscopy-assisted embryo transfer did not confer a significant advantage over conventional MET in terms of ease of transfer, clinical pregnancy, live birth, or miscarriage outcomes. Conventional mock ET remains an effective approach, while hysteroscopy should be reserved for selected patients with suspected intrauterine abnormalities.
Onwudiwe et al. (2026) studied this question.