Effect of menstrual cycle phase and hormonal treatments on evaluation of tubal patency in baboons

Abstract

Background We evaluated whether menstrual cycle phase influences the assessment of tubal patency by hysterosalpingography (HSG) in baboons. Methods Retrospective analysis of baseline tubal patency studies and serum estradiol (E2) and progesterone (P4) values obtained from female baboons used as models for development of nonsurgical permanent contraception in women. The main outcome measure was bilateral tubal patency (BTP) in relationship to estradiol level. Results Female baboons (n =110) underwent a single (n= 81), two (n=26), or three (n=3) HSG exams. In 33/142 (23%) HSG exams, one or both tubes showed functional occlusion (FO). The median E2 in studies with BTP (49 pg/mL) was significantly higher than in those studies with FO (32 pg/mL, p = .005). Among 18 animals with repeat exams where serum E2 changed from <60 to ≥ 60 pg/mL, 13 results changed from FO to BTP (p=.0001). No sets showed a change from BTP to FO with an increase in estradiol. Conclusion In baboons, functional occlusion of the fallopian tube is associated with low estradiol levels, supporting a role for estrogen-mediated relaxation of the utero-tubal junction.