Objective: To conduct a descriptive analysis of data from the National Embryo Produc-tion System (SisEmbrio) to characterize access to Assisted Reproductive Technology (ART) services in Brazil. Method: Information from SisEmbrio referring to the period from 2020 to 2024 was used, in addition to da-ta from the Brazilian Institute of Geography and Statistics, Google Maps, and clinical guidelines on ART. Results: The collected data revealed growth in the number of ART centers, as well as an increase in the number of frozen embryos and cycles performed during the analyzed period. Following the increase in embryo cryopreservation, a higher absolute number of ART procedures was observed among women aged ≥ 35 years. The analysis also showed that the majority of clinics are privately operated and that their geographic dis-tribution is predominantly concentrated in large urban centers. Conclusion: The findings indicate that access to ART services in Brazil remains limited. SisEmbrio data reaffirm barriers previously identified in the literature. These challenges constrain the expansion of access and underscore the need for structural changes to promote greater equity in care for the target population.
We report a rare case involving a 34-year-old woman with a 3-year history of recurrent pregnancy loss (RPL), referred to our infertility center for comprehensive evaluation, which included patient history, physical and ultrasound examination, diagnostic hysteroscopy, laparoscopy and histopathological analysis. A complete Müllerian anomaly (U2bC2V1) and a hemorrhagic cyst located in the isthmic portion of the left fallopian tube were diagnosed, with no signs of endometriosis or pelvic inflammation. The cyst was laparoscopically drained and excised. A congenital cystic dilatation of the fallopian tube was suspected. RPL can be associated with congenital Müllerian anomalies, but the current classifications do not take tubal anomalies into account. The presence of a coexisting proximal tubal lesions is rare and may contribute to infertility. This case highlights a rare association between a complete Müllerian anomaly and a proximal hemorrhagic tubal cyst with impaired ipsilateral tubal patency. Further research on tubal anomalies would be valuable.
