Factors associated with non-visualisation of tubal patency during Hysterosalpingo-Foam-Sonography - 20/05/22
, Hélène Flye Sainte Marie a, Simon Lorrain b, Silvia Iacobelli b, c, Glorianne Lazaro d, Malik Boukerrou a, e, Phuong Lien Tran a, eAbstract |
Objective |
Investigate potential factors associated with non-visualisation of tubal patency during Hysterosalpingo-Foam-Sonography (HyFoSy).
Study design |
This retrospective study was carried out at the medically assisted procreation centre of the University Hospital Centre in Reunion Island and focuses on HyFoSy performed between 01/01/2018 and 31/12/2020.
We aimed to compare HyFoSy with bilateral tubal patency and those with a passage defect. Factors associated with non-visualisation of the contrast medium were investigated using comparison tests and logistic regression. Explanatory variables were patient history and ultrasound characteristics.
Results |
137 eligible HyFoSy were included, of which 70.8% could be established for bilateral tubal patency.
The assessment of tubal patency decreased in cases of overweight/obesity (62.5% versus 47.4%), previous pelvic surgery (17.5% versus 10.3%) and deep endometriosis (12.5% versus 5.2%), without significant difference. In the logistic regression model, a trend towards significance was observed for body mass index ≥ 25 kg/m² (OR 2.01 [95% CI 0.93–4.35], p= 0.07).
Conclusion |
HyFoSy as a first-line infertility test should be discussed in certain circumstances, due to risk of non-visualisation of tubal patency. In case of poor echogenicity, it should be performed by a trained ultrasonographer or a hysterosalpingography should be preferred. For tubo-pelvic pathologies, a laparoscopy should be discussed for diagnostic and therapeutic purposes.
Discipline |
gynaecology, infertility.
Le texte complet de cet article est disponible en PDF.Key words : Hysterosalpingo-Foam-Sonography (HyFoSy), tubal patency, misdiagnosis
Plan
Vol 51 - N° 6
Article 102379- juin 2022 Retour au numéro
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