Factors associated with non-visualisation of tubal patency during Hysterosalpingo-Foam-Sonography

Anne-Sophie Hardel, Hardel AS, Flye Sainte Marie H, Hélène Flye Sainte Marie, Simon Lorrain, Lorrain S, Iacobelli S, Silvia Iacobelli, Lazaro G, Glorianne Lazaro, Malik Boukerrou, Boukerrou M, Phuong Lien Tran, Tran PL
Journal of gynecology obstetrics and human reproduction · 2022 · vol. 51(6) , pp. 102379 · doi:10.1016/j.jogoh.2022.102379 · PMID:35417785 · W4223448227
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This study investigated factors associated with non-visualisation of tubal patency during HyFoSy and found a trend towards significance with a higher body mass index.

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Abstract

ObjectiveInvestigate potential factors associated with non-visualisation of tubal patency during Hysterosalpingo-Foam-Sonography (HyFoSy).Study designThis retrospective study was carried out at the medically assisted procreation centre of the University Hospital Centre in Reunion Island and focuses on HyFoSy performed between 01/01/2018 and 31/12/2020. We aimed to compare HyFoSy with bilateral tubal patency and those with a passage defect. Factors associated with non-visualisation of the contrast medium were investigated using comparison tests and logistic regression. Explanatory variables were patient history and ultrasound characteristics.Results137 eligible HyFoSy were included, of which 70.8% could be established for bilateral tubal patency. The assessment of tubal patency decreased in cases of overweight/obesity (62.5% versus 47.4%), previous pelvic surgery (17.5% versus 10.3%) and deep endometriosis (12.5% versus 5.2%), without significant difference. In the logistic regression model, a trend towards significance was observed for body mass index ≥ 25 kg/m² (OR 2.01 [95% CI 0.93-4.35], p= 0.07).ConclusionHyFoSy as a first-line infertility test should be discussed in certain circumstances, due to risk of non-visualisation of tubal patency. In case of poor echogenicity, it should be performed by a trained ultrasonographer or a hysterosalpingography should be preferred. For tubo-pelvic pathologies, a laparoscopy should be discussed for diagnostic and therapeutic purposes. DISCIPLINE: gynaecology, infertility.

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MeSH descriptors

Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Infertility Infertility Infertility Infertility Infertility Infertility Fallopian Tubes Fallopian Tubes Fallopian Tubes Fallopian Tubes Fallopian Tubes Fallopian Tubes Fallopian Tubes

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