DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193549

Hysteroscopic salpingosonography: a novel technique for infertile patients

Garima Kapoor, Bindu Bajaj, Usha Rani, Geeta Pardeshi

Abstract


Background: Infertility is akin to curse in our country. Patients of infertility run from pillar to post to get relief. Government Hospitals in India lie at the tail end of window-shopping of infertility centres by the patients having exhausted all their resources. Patients report without any detailed records, lost reports, coming after long hiatus of having stopped treatment in desperation, making one wonder how to proceed. At the other end are patients who have undergone laparotomy for various reasons like intestinal obstruction, tubercular abdomen, adnexal masses and their tubal status is not very clear on HSG. So, repeat laparoscopy in the former group and performing ab initio in the latter, involves putting the patients to the risk of general anesthesia, injury to internal organs due to anticipated adhesions. Although Hassan’s technique of open trocar entry is well accepted the first port entry, whatever be the mode, is an entry open to risks.

Methods: In a selected group of infertile women, a baseline TVS was done on 2/3 day of menses and on the 7/8 day of menstrual cycle hysteroscopy was done which was immediately followed by another transvaginal ultrasound. The descriptive statistics is presented in the form of percentages and appropriate graphs.

Results: Among the 54 patients who underwent this procedure, 65% had normal uterine cavity. 18% were referred for IVF. 9.2% conceived post procedure.

Conclusions: Successive use of transvaginal ultrasound after hysteroscopy i.e Hysteroscopic sonosalpingography is a useful procedure in a select group of infertile patients.

 

 


Keywords


Controlled ovarian stimulation, Hysteroscopy, Intrauterine insemination, Timed intercourse, Transvaginal ultrasound

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References


Koskas M, Mergui JL, Yazbeck C, Uzan S, Nizard J. Office hysteroscopy for Infertility: a series of 557 consecutive cases. Obstet Gynecol Int. 2010:168096.

Mary D Hinckley, Amin A. Milki. 1,000 Office hysteroscopies for infertility: feasibility and findings September. 2003:80(3):82-3.

Campo R, Van Belle Y, Rombauts L, Brosens I, Gordts S. Office mini hysteroscopy. Hum Reprod Update. 1999;5(1):73-81.

Burney RO, Moayeri SE, Milki AA, Westphal LM, Lathi RB. Fertility and sterility. Sept. 2005;84(1):S469.

Dicker D, Goldman JA, Ashkenazi J, Feldberg D, Dekel A. The value of hysteroscopy in elderly women prior to in vitro fertilization embryo transfer (IVF-ET). 1990;7(5):267-70.

Brusco GF, Arena S, Angelini A. The role of diagnostic hysteroscopy in infertile women. Minerva Ginecol. 2001;53(5):313-9.

Preuttipan S, Linasmita V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with Infertility. J Obst Gynaecol Res. 2003;29(1):33-7.

Pansky M, Feingold M, Sagi R, Herman A, Schneider D, Halperin R. Diagnostic Hysteroscopy as a primary tool in a basic infertility workshop. JSLS. 2006;10(2):231-5.

Campo R, Meier R, Dhont N, Mestdagh G, Ombelet W. Implementation of hysteroscopy in an infertility clinic: The one stop uterine diagnosis and treatment. Facts Views Vis Obgyn. 2014;6(4):235-9.

Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective randomised study. Fertil steril. 2000;74(5):1029-34.

Tu-kaspa I, Gal M, Hartman J, Hartman A. A prospective evaluation of uterine abnormalities by saline infusion sonohysterography in 1,009 women with infertility or abnormal uterine bleeding. Fertil Steril. 2006;86(6):1731-5.

Wang SL, Burney RO, Moayeri SE, Milki AA, Lathi RB. Effect of diagnostic hysteroscopy with or without mechanical disruption of the endometrium in the infertile population. 2008;90:S39-406.

Diaferia D, Ragni G, Vegetti W, Colombo M, Arnoldi M, Crosignani PG. Sonohysterography for uterine cavity evaluation in infertility work up. Sept. 2000;74(3):S30.

Santhana L, Kumara S, Parvatha V. Evaluation of tubal patency by sonosalpingography in infertile women. Int J Repro Contrac Obstet Gynecol. Available at: http://dx.doi.org/10.18203/2320-1770.ijrcog20175038.