Comparison of warm and cold contrast media for hysterosalpingography: a prospective, randomized study

“…435 Moreover, Zhu and colleagues reported less pain after warming the contrast medium. 436 The issue of routine antibiotic prophylaxis has been much debated, with infectious complications being less than 1%.…”

Section: Technical Considerationsmentioning

confidence: 99%

Pelvic Imaging in Reproductive Endocrinology

Ziegler¹,

Streuli²,

Santulli³

et al. 2014

Yen &Amp; Jaffe's Reproductive Endocrinology

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“…[3][4][5][6] Other researchers have published their experience and proposed analgesia protocols during hysterosalpinography for infertility. [7][8][9] Traditionally, hysterosalpinography for infertility is done under high dye pressure instillation in an attempt to overcome proximal ostial spasm and/or mucus plugs, so hysterosalpinography (HSG) for infertility may be accompanied by pain. 8 In a randomized prospective study, Zhu et al evaluated the effect of warm (37 degrees) versus cold contrast media during hysterosalpinography for infertility in an attempt to reduce reflex tubal/uterine spasm.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] Traditionally, hysterosalpinography for infertility is done under high dye pressure instillation in an attempt to overcome proximal ostial spasm and/or mucus plugs, so hysterosalpinography (HSG) for infertility may be accompanied by pain. 8 In a randomized prospective study, Zhu et al evaluated the effect of warm (37 degrees) versus cold contrast media during hysterosalpinography for infertility in an attempt to reduce reflex tubal/uterine spasm. Patients' visual analog scale (VAS) pain scores during hysterosalpinography were significantly lower in the warm medium group initially, but showed no statistically significant difference 30 minutes following injection.…”

Section: Introductionmentioning

confidence: 99%

“…The total number of vasovagal episodes was higher in the cold medium group. 8 Chauhan et al similarly attempted to reduce the pain associated with hysterosalpinography for infertility by using an intracervical anesthetic block. 9 Their prospective randomized study divided patients using a computer-generated table into two groups of 50 women each.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Confirmation test for hysteroscopic sterilization: a descriptive study of patient tolerability and impressions

Chapa¹,

Venegas²

2013

PPA

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Background: This retrospective descriptive study describes patient follow-up and tolerability of the post-hysteroscopic sterilization confirmation test. Methods: Recruitment for the original sterilization procedure was from January 2008 to March 2009; subsequent confirmation test (hysterosalpingogram) capture was from March 2008 to July 2009. Patients were given a 10 cm visual analog pain scale during the hysteroscopic sterilization procedure, and took the scale with them as a take-home sheet. Following hysterosalpingography (HSG), patients received a follow-up phone call within 24 hours, and were asked to rate their pain during the hysterosalpingogram as well as during the first 2 hours following the test. Results: Eighty-nine hysteroscopic sterilizations were performed under local paracervical block and oral nonsteroidal medication. The median immediate post-sterilization visual analog pain score was 1.9 (range 1.7-2.1, 95% confidence interval [CI] 1.3-1.5). Of the 89 sterilization procedures, 79% (n = 70) patients underwent a confirmation test using HSG. Ten percent (n = 7) of the hysterosalpinograms were performed at least 3 months after sterilization (mean 17 [range 14-20] weeks). Median intratest visual analog pain score overall (n = 70) was 1.8 (range 1.6-1.9, 95% CI 1.5-1.9). Following the test, the median visual analog pain score was 1.7 (range 1.6-1.9, 95% CI 1.4-0.18). Of the 70 patients who participated in visual analog pain score capture, 64 had a paper copy of the scale had six had it via email. Of the 19 who did not complete hysterosalpinography, five were lost to follow-up. Reasons given by the remaining 14 for noncompliance with hysterosalpinography were: a busy schedule/childcare issues (62%), fear of the test (13%), trust in the sterilization procedure alone (13%), and forgetting the appointment (12%). Of the 70 HSGs performed, 69 revealed satisfactory micro insert positions with bilateral occlusion; one was unilaterally patent at 13 weeks post-sterilization, with satisfactory micro insert position. Repeat testing 10 weeks later documented bilateral occlusion. Conclusion: Confirmation testing for hysteroscopic sterilization is well tolerated, with favorable patient impressions after completion.

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Comparison of warm and cold contrast media for hysterosalpingography: a prospective, randomized study

Cited by 15 publications

References 18 publications

Rate of Detection of Unsuspected Pregnancies After Implementation of Mandatory Point-of-Care Urine Pregnancy Testing Prior to Hysterosalpingography

Rate of Detection of Unsuspected Pregnancies After Implementation of Mandatory Point-of-Care Urine Pregnancy Testing Prior to Hysterosalpingography

Pelvic Imaging in Reproductive Endocrinology

Confirmation test for hysteroscopic sterilization: a descriptive study of patient tolerability and impressions

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