Diagnostic Value of Sonohysterography in the Determination of Fallopian Tube Patency as an Initial Step of Routine Infertility Assessment

Hajishafiha, M; Zobairi, Taher; Zanjani, Vahide Rasoli; Ghasemi-Rad, Mohammad; Yekta, Zahra; Mladkova, Nikol

doi:10.7863/jum.2009.28.12.1671

Cited by 42 publications

(50 citation statements)

References 28 publications

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“…Infertility is defined as the failure to conceive after 1 year of regular, unprotected intercourse 1. This condition affects up to one in seven couples in industrialized countries,2 and it is one of the most prevalent chronic health disorders involving young adults 3…”

Section: Introductionmentioning

confidence: 99%

Effect of Helicobacter pylori infection on pregnancy rates and early pregnancy loss after intracytoplasmic sperm injection

Hajishafiha

Ghasemi-Rad²,

Memari³

et al. 2011

IJWH

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Background:There is a need to elucidate what affects the implantation and early pregnancy course in pregnancies conceived with assisted reproductive technology (ART) so that pregnancy rates and outcomes can be improved. Our aim was to determine the role of maternal Helicobacter pylori infection.Material and methods:We did a prospective study of 187 infertile couples undergoing intracytoplasmic sperm injection (ICSI) and segregated those according to underlying infertility etiology. We assessed the status of H. pylori IgG antibodies and anti-CagA IgG antibodies by ELISA assay. All pregnancies were followed for early pregnancy loss (EPL, first 12 weeks).Results:The likelihood of H. pylori infection increased with age (1.01, 95% confidence interval [CI]: 1.0–1.13; P = 0.040) but there was no association with EPL. Women infected with CagA-positive strains were more likely to have EPL (19.39, 95% CI: 1.8–208.4; P = 0.014). Women with tubal factor or ovulatory disorder infertility were more likely to abort early (12.95, 95% CI: 1.28–131.11; P = 0.030, 10.84, 95% CI: 1.47–80.03; P = 0.020, respectively). There was no association between EPL and age, number of embryos formed or transferred, or number of oocytes retrieved.Conclusion:Our findings suggest that infection with CagA-positive H. pylori strains is linked to an increase in women’s potential to abort early (possibly through increased release of inflammatory cytokines). In addition, tubal factor and ovulatory disorder infertility are linked to EPL after ICSI due to unknown mechanisms. Proposals to eradicate H. pylori infection prior to ICSI could lead to a decrease in EPL after ART.

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Section: Introductionmentioning

confidence: 99%

Effect of Helicobacter pylori infection on pregnancy rates and early pregnancy loss after intracytoplasmic sperm injection

Hajishafiha

Ghasemi-Rad²,

Memari³

et al. 2011

IJWH

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“…It is estimated that 30% to 35% of infertility is caused by the tubal factors 1 – 3 . Tubal disease can result from salpingitis, peritubal infections, endometriosis, past surgery, tumor compression, and congenital abnormal development.…”

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confidence: 99%

First Experience Using 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue for Assessing Fallopian Tube Patency

Qian

Liu

et al. 2013

J of Ultrasound Medicine

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This study was conducted to describe our first experience using transvaginal 4‐dimensional (4D) hysterosalpingo‐contrast sonography with SonoVue (Bracco International BV, Amsterdam, the Netherlands) for diagnosis of fallopian tube patency. The study was prospective and conducted in a university hospital setting. The sonographic procedures included 2‐dimensional transvaginal sonography for evaluating uterine and ovarian mobility, observing intubation, and determining the initial plane and 4D hysterosalpingo‐contrast sonography for observing periovarian and pelvic diffusion. Ninety‐six outpatients visiting infertility clinics underwent 4D hysterosalpingo‐contrast sonography. All patients finished the examination successfully. A total of 192 fallopian tubes were assessed, of which 95 (49.5%) were classified as type A (the tube was patent, and the contrast agent flowed smoothly through it), 72 (37.5%) as type B (the tube was patent, but the contrast agent did not flow smoothly inside it), and 25 (13.0%) as type C (blocked). Sixteen patients underwent laparoscopy or laparoscopy combined with hysteroscopy; 28 tubes (87.5%) were concordant with laparoscopy. The sensitivity, specificity, positive predictive value, negative predictive value, and Youden index for 4D hysterosalpingo‐contrast sonography versus laparoscopy were 81.8%, 90.5%, 81.8%, 90.5%, and 0.72 respectively. In total, 92.7% of patients did not require a hospital stay after 4D hysterosalpingo‐contrast sonography, and none need resuscitation. The others stayed in the hospital for clinical observation because of a severe vasovagal reaction or severe pain but received only bed rest without any medical treatment. Forty patients (41.7%) felt slight pain; 39 (40.6%) felt moderate pain; and 15 (15.6%) had a vasovagal reaction. No procedure or postprocedure complications occurred in any patient. In conclusion, 4D hysterosalpingo‐contrast sonography with SonoVue is an available screening method for assessment of tubal patency and is tolerable for most patients.

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“…Patients’ infertility was defined as a failure to conceive after 1 year of unprotected intercourse 5. This center is the only infertility clinic in the West Azerbaijan province of Iran and all infertile patients in the area are referred exclusively to this center.…”

Section: Methodsmentioning

confidence: 99%

“…Although HSG is generally accepted as the initial diagnostic procedure performed in infertile women, several disadvantages are inherent to the technique,4 including exposure to ionizing radiation and the injection of radio-opaque material. Sonohysterography (SHG), described in detail elsewhere,5 has rapidly become a popular tool for the diagnosis of intrauterine pathologies 6. In spite of its unequivocal advantages, such as low cost and the fact that patients are not subjected to ionizing radiation, the procedure is more time consuming than HSG and can lead to vasovagal shock in certain patients 5.…”

Section: Introductionmentioning

confidence: 99%

“…Sonohysterography (SHG), described in detail elsewhere,5 has rapidly become a popular tool for the diagnosis of intrauterine pathologies 6. In spite of its unequivocal advantages, such as low cost and the fact that patients are not subjected to ionizing radiation, the procedure is more time consuming than HSG and can lead to vasovagal shock in certain patients 5. SHG has yet to be presented as an alternative gold standard for investigating the uterine cavity 6…”

Section: Introductionmentioning

confidence: 99%

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Transvaginal sonographic evaluation at different menstrual cycle phases in diagnosis of uterine lesions

Ghasemi-Rad¹,

Hajishafiha²,

Mladkova³

et al. 2011

IJWH

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Purpose:Intrauterine lesions (IULs) are a common finding in women of reproductive age, particularly infertile women. Transvaginal sonography (TVS) is a popular tool for IUL detection, but there are conflicting data with respect to its accuracy.Methods:Five hundred and six women were enrolled into the study. Of these, 496 underwent hysterosalpingography and subsequent TVS six different times during the course of their menstrual cycle. If a lesion was detected, it was further evaluated by sonohysterography (SHG) and hysteroscopy.Results:Of 496 women, 41 were shown to have IULs by TVS and those lesions were confirmed in 39 by SHG and hysteroscopy. All 39 lesions were detectable during the ovulatory and early luteal phase (days 16–19) of the menstrual cycle. Accuracy of TVS during different phases was largely dependent on the size of the lesion. TVS falsely detected two lesions and missed fine adhesions in two patients.Conclusion:Accuracy of TVS in detection of IULs is highly dependent on the menstrual cycle phase, with the ovulatory and early luteal phase being the optimal time for this examination.

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Diagnostic Value of Sonohysterography in the Determination of Fallopian Tube Patency as an Initial Step of Routine Infertility Assessment

Abstract: Sonohysterography is an accurate method for the determination of fallopian tube patency. It is a simple, safe, and well-tolerated technique with a low risk of adverse effects and severe complications.

Cited by 42 publications

References 28 publications

Effect of Helicobacter pylori infection on pregnancy rates and early pregnancy loss after intracytoplasmic sperm injection

Effect of Helicobacter pylori infection on pregnancy rates and early pregnancy loss after intracytoplasmic sperm injection

First Experience Using 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue for Assessing Fallopian Tube Patency

Transvaginal sonographic evaluation at different menstrual cycle phases in diagnosis of uterine lesions

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