Pain experience during saline‐contrast sonohysterography differs between premenopausal and postmenopausal women

Opolskiene, G.; Radzvilaite, Simona; Bartkevičienė, Daiva; Ramašauskaitė, Diana; Zakarevičienė, Jolita; Drąsutienė, Gražina Stanislava

doi:10.1002/jcu.22291

Cited by 3 publications

(2 citation statements)

References 15 publications

(50 reference statements)

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“…These results may indicate that Echovist® is more “patient-friendly” than saline. In another study [36] on pain experience during SIS (n=99) it was observed that postmenopausal women experienced pain more often than premenopausal women (71% versus 32%; p<0.002). Also the character of the pain in relation to saline was different: postmenopausal women more often felt a sharp pain (42%), whereas premenopausal women more often felt gnawing and/or cramping pain (21%).…”

Section: Discomfort and Painmentioning

confidence: 99%

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Exalto

Emanuel

2019

BioMed Research International

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Background. Tubal patency testing is an essential part of female subfertility evaluation. Traditionally, hysterosalpingography (HSG) was the first step to evaluate tubal patency. However, during the past decade Hysterosalpingo-Contrast Sonography (HyCoSy) was introduced in order to avoid radiation exposure and Hysterosalpingo-Foam Sonography (HyFoSy) has been developed as a safe and less painful alternative. Objectives and Rationale. The aim of this narrative review is to provide an overview of the currently available HyFoSy literature and related clinical aspects. Search Methods. A literature search was conducted using PubMed and Embase from the introduction of HyFoSy to March 2019. Unfortunately, a meta-analysis was not possible due to a too small number of studies, being mutually incomparable for the various subjects of clinical aspects, even for the reliability as a test for tubal patency. Outcomes. Nine small studies concluded that the accuracy and effectiveness as a test for tubal patency of 2D- and 3D-HyFoSy are comparable or even better than HSG or HyCoSy. With or without using Doppler techniques, 3D-HyFoSy does not seem to offer benefits above real-time 2D-HyFoSy. Five studies reported on pain and discomfort during HyFoSy, concluding that HyFoSy is a well-tolerated, less painful procedure compared to HSG, without a need for the use of analgesics. There are suggestions about an increased pregnancy rate in the first three cycles after the procedure but in no studies pregnancy outcome after HyFoSy was compared with other or no intervention. Wider Implications. HyFoSy is a promising and safe alternative for HSG with regard to accuracy and effectiveness. HyFoSy lacks radiation and iodine exposure and is a well-tolerated and less painful procedure than HSG, without the need for analgesics. However more research is needed to make clear statements regarding a therapeutic effect of HyFoSy.

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Section: Discomfort and Painmentioning

confidence: 99%

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Exalto

Emanuel

2019

BioMed Research International

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“…The SHG is usually painless and well tolerated, however, postmenopausal women more often feel sharp pain than premenopausal women do. 26 The administration of Buscopan or nonsteroidal anti-inflammatory agents 30 to 60 minutes before SHG is recommended to reduce discomfort. 24 In addition, standard transvaginal ultrasound should be carried out to assess the endometrial lining and/or adnexal pathology before SHG.…”

Section: Dsjuogmentioning

confidence: 99%

Sonohysterography

Okamura¹,

Murakami²,

Kimura³

et al. 2015

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Sonohysterography (SHG) is a simple, less invasive, and inexpensive technique using the transcervical injection of sterile fluid during ultrasonic examination. As SHG is very helpful for the diagnosis of congenital or acquired abnormalities of the uterus and tubal patency, it is indicated in patients with abnormal uterine bleeding, infertility, recurrent pregnancy loss, and so on. The SHG provides better definition of intracavitary lesions, such as endometrial polyp, submucous leiomyoma, and synechiae, than simple transvaginal sonography. Currently, SHG has become a standard test in gynecological outpatient facilities. Adequate training, careful operations, and thoughtful interpretations are required for safe procedure and accurate diagnosis. How to cite this article Murakami T, Kimura F, Tsuji S, Okamura K. Sonohysterography. Donald School J Ultrasound Obstet Gynecol 2017;11(1):69-75.

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