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Multimodal hysterosalpingo-contrast sonography in the assessment of fallopian tubal patency: A retrospective study.

Tubal factor infertility accounts for 25-35% of female infertility cases, requiring accurate fallopian tubal patency assessment for diagnosis and treatment. Traditional hysterosalpingography (HSG) carries radiation and allergy risks, while laparoscopic chromopertubation, the gold standard, is invasive and expensive. Multimodal hysterosalpingo-contrast sonography (HyCoSy) provides a radiation-free alternative. This retrospective study at Shenzhen Maternity and Child Healthcare Hospital, a tertiary maternity hospital in southern China (January 2019-December 2024) evaluated HyCoSy's diagnostic ac…

Immersive virtual reality as tool to reduce anxiety during embryo transfer.

The use of Virtual Reality (VR) has gained wide acceptance in several scientific fields. It represents an innovative technological tool prov … l Embryo Transfer (ET). The role of VR in reducing pain and anxiety during outpatient hysteroscopy, hysterosalpingography and oocytes retrieval, has been recently investigated with satisfactory results in terms of reducing pain and anxiety levels. However, to date, inconclusive outcomes have been reported on pregnancy rate. Our study would discuss the existent literatu …

Accuracy of Ultrasonography in the Evaluation of Tubal Sterilization Microinsert Positioning: Systematic Review and Meta-analysis.

The current reference standard to check the position of a tubal sterilization microinsert device after its insertion is hysterosalpingography. The objective of this study was to evaluate the accuracy of 2-dimensional (2D) and 3-dimensional (3D) ultrasonography (US) in the positioning of the tubal sterilization microinsert for definitive contraception. We searched MEDLINE, Embase, Cochrane, and Scopus databases through October 2017. Selection criteria included studies that analyzed the accuracy of 2D or 3D US, or both, with respect to the positioning of the microinsert. Data were displayed as f…

Эффективность мультицелевого Microgen Chlamidia trachomatis IgG ELISA в прогнозировании коэффициента бесплодия среди подземных женщин (TFI): сравнение с Medac MoMP IgG ELISA плюс.

Существует потребность в более точных тестах антител на хламидиотрахоматис (CT) для диагностики факторов бесплодия (TFI). Мы провели оценку прогнозируемого значения для TFI Medac ELISA плюс (MOMP) и Microgen ELISA (MOMP-CPAF-TARP). На основе результатов Medac ELISA, а также результатов, 183 женщины-подкорлупки прошли либо гистеросальпинг, либо лапароскопию для диагностики TFI. ТИУ было определено как обширное сцепление и/или дистальное оккулирование по крайней мере одной трубы. Женщины, не выполняющие определение ОФИ, выполняют функции контроля. Впоследствии серум был опробован на Microgen ELI

Совпадение в аннотации оригинала
There is a need for more accurate Chlamydia trachomatis (CT) IgG antibody tests for tubal factor infertility (TFI) diagnostics. We evaluated the predictive value for TFI of Medac ELISA plus (MOMP) and multitarget Mikrogen ELISA (MOMP-CPAF-TARP). Based on Medac ELISA plus results, 183 subfertile women underwent either hysterosalpingography or laparoscopy to d…

Three-Dimensional Hysterosalpingo-Contrast-Sonography for the Assessment of Tubal Patency in Women with Infertility: A Systematic Review with Meta-Analysis.

BACKGROUND/AIMS: We aimed at performing a systematic review to determine the diagnostic accuracy of three-dimensional (3D) hysterosalpingo-contrast-sonography (HyCoSy) for detecting tubal occlusion. METHODS: A systematic review in Medline database search from January 1989 to October 2015 to identify relevant studies evaluating 3D-HyCoSy. Eligibility criteria were studies assessing the role of 3D-HyCoSy for diagnosing tubal occlusion in infertile women. Index test was 3D-HyCoSy. Reference standard was laparoscopy with dye test or X-ray hysterosalpingography. Quality was assessed using Preferre…

Hysterosalpingographic findings in patients with infertility in South eastern Nigeria.

BACKGROUND: Hysterosalpingography (HSG) is still an integral part of gynecological evaluation of infertile couple and its value has not been underestimated in modern gynecological practice, especially in developing countries. The study aims to evaluate the findings at HSG in patients presenting with infertility at the Ebonyi State University Teaching Hospital, Abakaliki, Southeastern Nigeria. METHODOLOGY: A retrospective analysis of 100 consecutive HSG results of patients presenting with infertility was done between January 2005-April 2008. Their clinical records and radiological findings wer…

Incorrect position of Essure microinserts 3 months after successful bilateral placement.

OBJECTIVE: To describe incorrect positions of Essure microinserts detected at 3 months' follow-up. DESIGN: Case report. SETTING: Outpatient department of obstetrics and gynecology in a Dutch teaching hospital. PATIENT(S): Initial series of 100 patients who underwent hysteroscopic sterilization using Essure between December 2003 and June 2004. INTERVENTION(S): Hysteroscopic placement of the Essure System, follow-up at 3 months with transvaginal ultrasound (TVU), and hysterosalpingography. MAIN OUTCOME MEASURE(S): Bilateral placement rate, tubal obstruction, and detection of incorrect Essur…

Recurrent miscarriage: causes, evaluation, and treatment.

Recurrent miscarriage or fetal loss syndrome (also known as fetal wastage syndrome) is characterized by recurrent spontaneous abortion. Ther … in pinpointing the problem, such as cytogenetic studies, blood coagulation protein/platelet tests, hysterosalpingography, sonography, and magnetic resonance imaging. We also describe management strategies that often lead to successful pregnancy outcome when the underlying problem is addressed. For example, in the case of thrombotic defects, a common cause of recurrent …

Diethylstilbestrol-induced upper genital tract abnormalities.

In utero diethylstilbestrol (DES) exposure has recently been associated with apparently unique abnormalities of the upper genital tract. Utilizing a standardized technique of hysterosalpingography (HSG) and a linear planimeter, the following measurements were made in a group of 13 DES-exposed women and compared with a control group of 22 women undergoing HSG during infertility investigations (mean +/- standard error: endometrial cavity area, 323.23 +/- 32.13 sq mm versus 626.56 +/- 52.75 sq mm; endometrial cavity circumference, 128.65 +/- 5.08 mm versus 140.52 +/- 5.56 mm; upper uterine segmen…

Aftermath of Chlamydia Trachomatis - The Tip of an Iceberg in Female Reproductive Health.

OBJECTIVE: The magnitude of infertile couples worldwide was found to be 60-80 million. Genital infection due to Chlamydia trachomatis (C. trachomatis) is one of the most prevalent sexually transmitted infections (STIs) which may present as PID, leading to ectopic pregnancy, infertility or other adverse health outcomes. This study was done to assess the prevalence of C. trachomatis infections among female patients with infertility using real time PCR (RT-PCR) and to compare the findings of molecular testing with hysterosalpingography (HSG) and ultrasonography (USG). MATERIAL AND METHODS: 50 en…

Conception rates after fluoroscopy-guided fallopian tubal cannulation: an alternative to in vitro fertilization for patients with tubal occlusion.

OBJECTIVE: Previous studies show good technical success rates for fallopian tube recanalization. Scarce literature exists regarding advance … n a 24-year period. A total of 160 couples undergoing a basic infertility evaluation were included. Hysterosalpingography with high pressure contrast injection followed by selective contrast, guidewire catheterization at the tubal ostium, and/or microcatheter/microwire recanalization were performed. Comparisons of the tubal fertilization rate by relevant characteristic …

Pelvic inflammatory diseases: Updated French guidelines.

Pelvic inflammatory diseases (PID) must be suspected when spontaneous pelvic pain is associated with induced adnexal or uterine pain (grade … the insertion of an intrauterine device (grade B), and before elective termination of pregnancy or hysterosalpingography. When specific bacteria are identified, antibiotics targeted at them are preferable to systematic antibiotic prophylaxis.

Hysterosalpingographic findings in primary and secondary infertility patients.

To highlight and compare spectrum of hysterosalpingography (HSG) findings in primary and secondary infertility patients. Methods: This retrospective record-based cross-sectional study was performed in the Radiology Department, King Fahad Military Medical City, Dhahran, Kingdom of Saudi Arabia between August 2016 and 2018. All patients (N=303) who underwent successful HSGs were included, and grouped under primary and secondary infertility cases. Patients with failed, limited or incomplete studies were excluded. Imaging findings were documented as N (Normal) or Ab (Abnormal). Abnormal HSG findin…

Hysteroscopically guided transvaginal ultrasound tubal catheterization-a novel office procedure.

OBJECTIVE: Investigate a novel office hysteroscopic tubal catheterization therapeutic method for proximal tubal occlusion. STUDY DESIGN: Prospective cohort study in a tertiary referral center. We evaluated the procedure on a group of 27 patients that were referred to our unit for proximal tubal occlusion demonstrated by hysterosalpingography, 9 (33.3%) of them with primary infertility and 18 of them (66.6%) with secondary infertility. The intervention included the usage of the modified Novy cornual cannulation set which was inserted through a 5F working cannel during an office operative hyste…

Use of laparoscopy in unexplained infertility.

OBJECTIVE: The use of laparoscopy in unexplained infertility work-up is still a subject of debate, although laparoscopy remains the gold sta … normal clinical examination, ovarian reserve assessment, pelvic ultrasound scan and patent tubes on hysterosalpingography. Semen analyses were normal according to the World Health Organization criteria. After three cycles of ovulation induction with or without intra-uterine insemination and no pregnancy, women were referred for diagnostic laparoscopy. RESULTS: Laparos …

Outpatient hysteroscopy: a routine investigation before assisted reproductive techniques?

OBJECTIVE: To evaluate the importance of subjecting the patient to an outpatient (office) hysteroscopy (OH) before assisted reproductive techniques (ART) and patient compliance, possible side effects, and complications of the procedure. DESIGN: Comparative observational cross-sectional study. SETTING: University hospital. PATIENT(S): One hundred fifty-two patients attending the outpatient infertility clinic for pre-ART (IVF/intracytoplasmic sperm injection [ICSI]-ET) investigations, with normal uterine findings on hysterosalpingography (HSG). INTERVENTION(S): Transvaginal sonography (TVS) …