Comparison of the pain experienced by infertile women undergoing hysterosalpingo contrast sonography or radiographic hysterosalpingography

Socolov, Demetra; Boian, Iuliana; Boiculese, Lucian; Tamba, Bogdan Ionel; Anghelache-Lupaşcu, Ivona; Socolov, Razvan

doi:10.1016/j.ijgo.2010.07.018

Cited by 41 publications

(29 citation statements)

References 17 publications

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“…Most of women encounter pain in the course of the HyCoSy procedure [14][15][16]. Several studies have demonstrated the pain, side effects, and tolerability of HyCoSy, using a variety of materials for air microbubble suspensions [14,15].…”

Section: Introductionmentioning

confidence: 99%

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Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Zhang

et al. 2017

Computer Assisted Surgery

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4-Dimensional hysterosalpingo-contrast sonography (4 D HyCoSy) using SonoVue is regarded as a really good option available for evaluating fallopian tubal patency. This study was designed to assess the pain and adverse effects incurred by women undergoing 4 D HyCoSy. Through evaluating the pelvic pain immediately after 4 D HyCoSy and 30 min after 4 D HyCoSy, the circumstances of the pain relief was also observed. The predictive factors of pain were assessed simultaneously. 827 consecutive women as part of infertility evaluation were included. The pain experienced was then assessed on a 10-cm visual analogue scale (VAS). Each patient was questioned to rate the pain at two different points of time (T1, immediately after 4 D HyCoSy; T2, 30 min after 4 D HyCoSy). 818/827 (98.9%) patients completed the procedure. Pain was experienced by 757/818 (92.5%) of subjects. 30 min after HyCoSy procedure, only 0.5% (4/818) patients feel severe pelvic pain and after 15-30 minutes of rest, these patients were relieved of pain. Age, cycle length, duration of menses, and duration of infertility were not significantly correlated with pain associated with 4 D HyCoSy as assessed by VAS. Women with tubal obstruction experienced a significant increase in 4 D HyCoSy-associated pain. There were significant differences in the degree of pain between different tubal patency (p <0.01). Overall, 4 D HyCoSy, a userfriendly, multidimensional technology, has the advantage of real-time, dynamic, well tolerated, and low serious complications, which make it a good way for evaluating fallopian tubal patency. The technique aids in making choices concerning further procedures for the diagnosis and treatment of infertility. Most of women experience pain associated with the procedure and 30 minute period of observation is useful.

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Section: Introductionmentioning

confidence: 99%

“…Several studies have demonstrated the pain, side effects, and tolerability of HyCoSy, using a variety of materials for air microbubble suspensions [14,15]. Some investigators have evaluated the diagnostic accuracy of 4 D HyCoSy [13,16].…”

Section: Introductionmentioning

confidence: 99%

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Zhang

et al. 2017

Computer Assisted Surgery

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“…Two-dimensional (2D) hysterosalpingo-contrast-sonography (HyCoSy) has been proposed as alternative to LDT and HSG [3]. This technique is well tolerated and easily performed [4;] it may not only assess tubal patency but also detect uterine cavity anomalies [5;] it additionally allows concomitant visualization of the ovaries and myometrium avoiding ionizing radiation [5]. …”

Section: Introductionmentioning

confidence: 99%

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

Alcázar

Corral

Orozco³

et al. 2016

Gynecol Obstet Invest

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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 Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and Quality Assessment of Diagnostic Accuracy Studies-2 tool. Pooled sensitivity and specificity for the method were estimated. Results: A total number of 88 papers were identified. After exclusions, nine studies were ultimately included. Pooled estimated sensitivity was 98% (95% CI 91-100) with a moderate heterogeneity (I²: 64.8%, 95% CI 39.6-89.9; and Cochran Q 22.7, p < 0.001). Pooled estimated specificity was 90% (95% CI 83-95) with significant heterogeneity (I²: 80.3%, 95% CI 68.1-92.5; and Cochran Q 40.6, p < 0.001). Positive likelihood ratio was 10.3 (95% CI 5.6-18.7) and negative likelihood ratio was 0.02 (95% CI 0.00-0.21). Conclusion: 3D-HyCoSy is an accurate test for diagnosing tubal occlusion in women with infertility.

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“…It offered a quick method of assessing tubal patency, obviating the need for ionizing radiation or general anesthesia [5,6]. Though pooled data from literature reported acceptable pain tolerance during the HyCoSy examination, the tolerance varies according to the used installation volume and contrast material [12][13][14]. Furthermore, the dyes were declared unsafe for gynecological use and could only be used for Doppler microvasculature.…”

Section: Introductionmentioning

confidence: 99%

Hysterosalpingo-Foam Sonography, Less Painful and More Instructive as Compared with Hysterosalpingography: A Prospective Study

Agdi¹

2017

OGIJ

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Background: Hysterosalpingography (HSG) is a vital part of fertility evaluation, and can be painful and cause moderate to severe pain as reported by women. Hysterosalpingo-Foam Sonography (HyFoSy) is a quick, well-tolerated and less painful procedure than HSG for tubal patency testing. Moreover, HyFoSy is safe, non-invasive procedure, economic, and time efficient.Objective: To assess whether HyFoSy is a less painful procedure for tubal patency and highly time efficient compared to HSG. Methods:a) Design: A single-center, prospective, interventional clinical study. b) Study setting: Reproductive

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Comparison of the pain experienced by infertile women undergoing hysterosalpingo contrast sonography or radiographic hysterosalpingography

Abstract: Hysterosalpingo contrast sonography is similar to HSG regarding rapidity of pain disappearance, and infrequency and moderation of vagal effects, but the level of pain is slightly higher, probably due to the greater volume of medium injected.

Cited by 41 publications

References 17 publications

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

Pain and side effects associated with 4-dimensional hysterosalpingo-contrast sonography for evaluating of the fallopian tubes patency

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

Hysterosalpingo-Foam Sonography, Less Painful and More Instructive as Compared with Hysterosalpingography: A Prospective Study

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