ACR Appropriateness Criteria® Female Infertility

Imaging:, Expert Panel on Women’s; Wall, Darci J.; Reinhold, Caroline; Akin, Esma A.; Ascher, Susan M.; Brook, Olga R.; Dassel, Mark; Henrichsen, Tara L.; Learman, Lee A.; Maturen, Katherine E.; Patlas, Michael N.; Robbins, Jessica B.; Sadowski, Elizabeth A.; Saphier, Carl J.; Uyeda, Jennifer W.; Glanc, Phyllis

doi:10.1016/j.jacr.2020.01.018

Cited by 15 publications

(8 citation statements)

References 83 publications

(101 reference statements)

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“…The scientific society has acknowledged HyCoSy as a first‐line test in the work‐up of female infertility 5,6 . It has a high diagnostic accuracy, lack of radiation, simple procedure, the ability to assess ovarian and intrauterine lesions simultaneously, and lower rates of complications 3,7–10 …”

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confidence: 99%

Is Hysterosalpingo‐Contrast Sonography (HyCoSy) Using Sulfur Hexafluoride Microbubbles (SonoVue) Sufficient for the Assessment of Fallopian Tube Patency? A Systematic Review and Meta‐Analysis

Zhang

et al. 2022

J of Ultrasound Medicine

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This study aimed to evaluate the diagnostic value of HyCoSy using sulfur hexafluoride microbubbles for fallopian tubal patency assessment in infertile females. Twenty-four studies, including 1358 females with 2661 detected fallopian tubes published from January 2003 to May 2019, were identified. The pooled sensitivity was 93% (95% CI: 90-95%), while the specificity was 90% (95% CI: 87-92%). The area under the receiver-operating characteristic curve was 0.96 (95% CI: 94-98%). The specificity of the four-dimensional HyCoSy subgroup was higher than the 2D/3D subgroup; an increased dose of contrast agent did not affect the specificity, with only a slightly reduced sensitivity.

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confidence: 99%

Is Hysterosalpingo‐Contrast Sonography (HyCoSy) Using Sulfur Hexafluoride Microbubbles (SonoVue) Sufficient for the Assessment of Fallopian Tube Patency? A Systematic Review and Meta‐Analysis

Zhang

et al. 2022

J of Ultrasound Medicine

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“…The findings of the present study provide some evidence in support of integrating psychological interventions as a treatment strategy for infertile patients. Some of the current guidelines did not recommend psychotherapy as a treatment for patients with infertility (Penzias et al, 2020;Wall et al, 2020). This study suggested that psychotherapy can lead to improvements in the pregnancy rate and infertility-related psychological stress of patients with infertility, and it is recommended that psychotherapy be added to the guidelines.…”

Section: Discussionmentioning

confidence: 86%

Pregnancy or Psychological Outcomes of Psychotherapy Interventions for Infertility: A Meta-Analysis

et al. 2021

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Background: The pregnancy and psychological status of infertile couples has always been a concern, but there is no clear evidence for the efficacy of psychotherapy for infertile couples. This study aimed to summarize the current evidence of the effects of psychotherapy on psychological and pregnancy outcomes for infertile couples.Method: We searched Ovid MEDLINE, Ovid EMbase, The Cochrane Library, and Web of Science (ISI) for articles published from 1946 to June 26, 2020. The pregnancy outcomes, psychological outcomes, and acceptability were involved in the study.Results: Overall, 29 studies with a combined total of 3,522 adult participants were included in the meta-analysis. Compared with a placebo, psychotherapy was associated with the pregnancy rate [risk ratio (RR) = 1.43, 95% CI [1.07, 1.93]], total psychological scales associated with infertility [standardized mean difference (SMD) = −0.33 95% CI [−0.63, −0.02]], subsymptoms of psychological scores using the 28-item version of GHQ (including social function [MD = −3.10, 95% CI [−4.30, −1.90]] and depression [MD = −3.90, 95% CI [−5.36, −2.44]], and depression [MD = 3.60, 95% CI [2.25, 4.95]] using the 14-item version of Hospital Anxiety and Depression Scale, but it had no statistically significant association with the other outcomes. In the stratified analyses, the pregnancy rate using assisted reproduction, cognitive behavioral therapy (CBT), and the integrative body–mind–spirit (BMS); total psychological scales associated with infertility using other treatments and more than a month; and anxiety using BMS had significant statistical significance. The funnel plots of all outcomes were approximately symmetrical, and no significant publication bias was found.Conclusions: The study showed that psychotherapy can lead to improvements in the pregnancy rate for infertile patients, especially for patients receiving assisted fertility. In addition, it may help improve total psychological scales associated with infertility and depression. CBT and BMS play an important role in improving rate of pregnancy, and BMS is associated with reducing anxiety. Although psychological interventions had limited effects on the pregnancy outcomes of infertility, our study still recommended that psychotherapies, in particular CBT and BMS, were applied to the therapeutic regimen for infertility, especially for patients receiving assisted fertility.

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“…Infertility is failure to achieve a pregnancy after one year or more of regular unprotected intercourse in women under 35 and 6 months in women older than 35. It affects approximately 15.5% of females (10) . The main causes of infertility are ovulatory dysfunction, tubal and peritoneal pathology, male factor, unexplained infertility and uterine pathologies and intrauterine pathologies are one of the reasons that can be treated surgically, negatively affects fertility by decreasing the receptivity and implantation success (11) .…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study Comparing Three-Dimensional Ultrasonography versus Hysteroscopy in Evaluation of Uterine Cavity in Infertile Women

Fekry¹,

Toutongy²,

Elmorsy³

2023

The Egyptian Journal of Hospital Medicine

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Background: Hysteroscopy (HS) is a frequently utilized procedure for diagnosing and treating intracavitary pathologies in gynecological practice. It is a favored procedure for assessing of infertile women. While different types of ultrasounds scanning for infertility such as baseline or screening ultrasound, follicular monitoring ultrasounds, saline infusion sonograms (SIS) with or without three-dimensional transvaginal ultrasonography (3D-TVS) evaluation are utilized to evaluate uterine cavity. Abdominal ultrasound might be required with any of the above scanning modalities for better assessment of pelvic structures. Objective: The current study aimed to evaluate the diagnostic accuracy of 3D ultrasonography versus hysteroscopy for assessment of uterine cavity in infertile females. Patients and methods: The diagnostic study included 139 infertile patients. All cases were subjected to detailed history taking with special focus on age, parity, age of menarche, past history of obstetric problems or surgeries. All patients had pelvic 3D TVS assessment and then reassessed by hysteroscopy. Results: The 3D TVS showed perfect performance characteristics for detection of uterine abnormalities in relation to hysteroscopy as a standard method, with sensitivity of 96.9%, specificity of 85.7%, positive predictive value (PPV) of 94%, negative predictive value (NPV) of 92.3%, and accuracy of 93.5%. The 3D TVS showed perfect performance characteristics regarding any Mullerian abnormality, septate uterus, subseptate uterus, bicornuate uterus, unicornuate and arcuate uterus. Conclusion: 3D TVS is a cost-effective, non-invasive modality without complications in comparison with HS, must be considered as a first-line investigation in infertility.

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ACR Appropriateness Criteria® Female Infertility

Cited by 15 publications

References 83 publications

Is Hysterosalpingo‐Contrast Sonography (HyCoSy) Using Sulfur Hexafluoride Microbubbles (SonoVue) Sufficient for the Assessment of Fallopian Tube Patency? A Systematic Review and Meta‐Analysis

Is Hysterosalpingo‐Contrast Sonography (HyCoSy) Using Sulfur Hexafluoride Microbubbles (SonoVue) Sufficient for the Assessment of Fallopian Tube Patency? A Systematic Review and Meta‐Analysis

Pregnancy or Psychological Outcomes of Psychotherapy Interventions for Infertility: A Meta-Analysis

A Prospective Study Comparing Three-Dimensional Ultrasonography versus Hysteroscopy in Evaluation of Uterine Cavity in Infertile Women

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