Side effects and complications of sonohysterosalpingography

Salvatore Dessole, Mario Farina, Giovanni Rubattu, Erich Cosmi, Guido Ambrosini, Giovanni Battista Nardelli
Fertility and sterility · 2003 · vol. 80(3) , pp. 620–624 · doi:10.1016/s0015-0282(03)00791-x · PMID:12969709 · W2079514684
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This review examines the reported side effects and complications associated with sonohysterosalpingography.

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Abstract

OBJECTIVE: To evaluate the side effects and complications of, difficulties with, and possible solutions to the problems associated with sonohysterosalpingography. DESIGN: Prospective study. SETTING: University hospital. PATIENT(S): One thousand, one hundred fifty-three patients who underwent sonohysterosalpingography to investigate abnormal uterine bleeding, infertility, thick endometrium at transvaginal ultrasonography, müllerian abnormalities, or the Asherman syndrome. MAIN OUTCOME MEASURE(S): Side effects and complications of and difficulties related to the procedure. Tolerance was assessed by using a pain-rating scale. RESULT(S): Ninety-three percent (1,074 of 1,153) procedures were performed correctly. Investigation was not completed in 79 (7%) women; a second attempt was successful in 60 of these patients. Side effects, such as moderate or severe pelvic pain, vasovagal symptoms, nausea, and vomiting, occurred in 102 (8.8%) women. Such complications as fever and peritonitis occurred in 0.95% of patients. CONCLUSION(S): Sonohysterosalpingography is a simple, safe, and well-tolerated technique that has a low rate of side effects and rare complications.

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MeSH descriptors

Fallopian Tubes Hysterosalpingography Ultrasonography Uterus Adult Fallopian Tubes Female Fever Fever Gastrointestinal Diseases Gastrointestinal Diseases Humans Hypotension Hypotension Hysterosalpingography Middle Aged Pelvic Pain Pelvic Pain Peritonitis Peritonitis

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