Spontaneous Pregnancy in a Hysterosalpingo-Foam-Sonography (ΗyFoSy) Cycle: A Case Report and Review of the Available Literature

Lamari, Ioanna; Xydias, Emmanouil; Tsakos, Elias; Thanasas, Ioannis; Ziogas, Apostolos C

doi:10.7759/cureus.37640

Cited by 2 publications

(1 citation statement)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, this is the first single case report described in the current literature with the former technique, and the second single case reported in the current literature, where a single case of spontaneous pregnancy is obtained after HyFoSy [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pregnancy after 4D‐Hysterosalpingo‐Sonography (HyCoSy) in the Same Menstrual Cycle: A Case Report and an Updating Review of the Current Literature regarding the Positive Impact of Tubal Flushing Effect on Fertility

Bisogni,

Galanti,

Riccio

et al. 2024

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Infertility is increasing worldwide, as well as in Italy, and fallopian tube pathology represents one of the most impacting causes of infertility for multiple women. Indeed, tubal patency assessment is a crucial step in medical evaluation for women attending an in vitro fertilization (IVF) center. Currently, different methods for tubal investigation are available, such as chromosalpingoscopy, hysterosalpingography (HSG), and hysterosalpingo‐contrast sonography (HyCoSy). This diagnostic exam is performed by ultrasonography and an air‐water‐based contrast agent represented by air‐water, or foam solution (HyFoSy). An additional side benefit of these assessment tests is a fertility‐enhancing effect, thanks to a positive effect defined as “tubal flushing,” which in current literature is more strongly associated with HyFoSy with respect to HyCoSy. In this report, we present a case of a 34‐year‐old woman presented to our attention at the Reproductive and Physiopathology Unit of Sandro Pertini Hospital, Rome, in 2023, with unexplained infertility for 3.1 years of free sexual intercourse with a partner who did not report sperm abnormalities. Subsequently, in this exam, the woman spontaneously conceived in the same menstrual cycle that the 4D‐HyCoSy was performed, without any additional fertility enhancement interventions. In this case report, we also include an updating review of the current literature regarding the insurgence of spontaneous pregnancy after this technique in order to explore the physiopathological and etiopathogenetic mechanisms underlying the achievement of spontaneous pregnancy and to confront our case with other recent works published. According to our clinical experience and the current literature, 4D‐HyCoSy is the easiest, safest, and cheapest diagnostic exam for investigating tubal patency, which can lead to medical success in some cases of “unexplained infertility” as the achievement of a spontaneous pregnancy.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous Pregnancy after 4D‐Hysterosalpingo‐Sonography (HyCoSy) in the Same Menstrual Cycle: A Case Report and an Updating Review of the Current Literature regarding the Positive Impact of Tubal Flushing Effect on Fertility

Bisogni,

Galanti,

Riccio

et al. 2024

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

Enhancing Fertility in the Same Cycle: A Case Report on Effects of Hysterosalpingo-Foam Sonography (HyFoSy) for a Couple With Mild Infertility

Ziogas,

Tsakos,

Tsagias

et al. 2024

Cureus

Self Cite

View full text Add to dashboard Cite

Fertility issues are becoming increasingly prevalent, leading many couples to seek fertility treatment at specialized centers. Infertility is a diverse clinical condition, with multiple potential etiologic factors and variable severity in its manifestation. Regardless of the underlying factors and severity, routine fertility assessment rarely differs between cases, with an essential step being fallopian tube patency assessment. Hysterosalpingo-foam sonography (HyFoSy) is the latest available diagnostic technique to assess this parameter, offering robust results, with reduced intra-procedural pain and equipment requirements, in the convenience of the office setting. However, apart from its diagnostic value, HyFoSy has also demonstrated a therapeutic tubal flushing effect, that may be the decisive factor for couples with mild infertility to spontaneously conceive. In this report, we present the case of a couple with mild infertility, who managed to spontaneously conceive after a HyFoSy examination, and in fact within the same cycle.

show abstract

Spontaneous Pregnancy in a Hysterosalpingo-Foam-Sonography (ΗyFoSy) Cycle: A Case Report and Review of the Available Literature

Cited by 2 publications

References 20 publications

Spontaneous Pregnancy after 4D‐Hysterosalpingo‐Sonography (HyCoSy) in the Same Menstrual Cycle: A Case Report and an Updating Review of the Current Literature regarding the Positive Impact of Tubal Flushing Effect on Fertility

Spontaneous Pregnancy after 4D‐Hysterosalpingo‐Sonography (HyCoSy) in the Same Menstrual Cycle: A Case Report and an Updating Review of the Current Literature regarding the Positive Impact of Tubal Flushing Effect on Fertility

Enhancing Fertility in the Same Cycle: A Case Report on Effects of Hysterosalpingo-Foam Sonography (HyFoSy) for a Couple With Mild Infertility

Contact Info

Product

Resources

About