Ultrasonography reappraisal of tubal patency in assisted reproduction technology patients: comparison between 2D and 3D-sonohysterosalpingography. A pilot study

Riganelli, Lucia; Casorelli, Assunta; Caccetta, Jlenia; Merlino, Lucia; Mariani, Marianna; Savone, Delia; Carrone, Angela; Franceschetti, Silvia; Aragona, Cesare; Pietrangeli, Daniela; Aragona, A; Capri, Oriana; Piccioni, Maria Grazia

doi:10.23736/s0026-4784.17.04161-2

Cited by 3 publications

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“…Rotating the patient on each hip may assist in demonstrating tubal patency. Various authors have found power Doppler and 3‐dimensional imaging helpful in evaluating tubal patency 34,35 . The lack of tubal patency should be considered with swirling of contrast in the cornual regions of the endometrium.…”

Section: Specifications Of the Examinationmentioning

confidence: 99%

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AIUM Practice Parameter for the Performance of Sonohysterography and Hysterosalpingo‐Contrast Sonography

2021

J of Ultrasound Medicine

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Section: Specifications Of the Examinationmentioning

confidence: 99%

“…Various authors have found power Doppler and 3-dimensional imaging helpful in evaluating tubal patency. 34,35 The lack of tubal patency should be considered with swirling of contrast in the cornual regions of the endometrium. A tubal spasm may result in a similar appearance.…”

Section: Hysterosalpingo-contrast Sonographymentioning

confidence: 99%

AIUM Practice Parameter for the Performance of Sonohysterography and Hysterosalpingo‐Contrast Sonography

2021

J of Ultrasound Medicine

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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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Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

Riganelli

Iebba

Piccioni

et al. 2020

Front. Cell. Infect. Microbiol.

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Microbiota are microorganismal communities colonizing human tissues exposed to the external environment, including the urogenital tract. The bacterial composition of the vaginal microbiota has been established and is partially related to obstetric outcome, while the uterine microbiota, considered to be a sterile environment for years, is now the focus of more extensive studies and debates. The characterization of the microbiota contained in the reproductive tract (RT) of asymptomatic and infertile women, could define a specific RT microbiota associated with implantation failure. In this pilot study, 34 women undergoing personalized hormonal stimulation were recruited and the biological samples of each patient, vaginal fluid, and endometrial biopsy, were collected immediately prior to oocyte-pick up, and sequenced. Women were subsequently divided into groups according to fertilization outcome. Analysis of the 16s rRNA V4-V5 region revealed a significant difference between vaginal and endometrial microbiota. The vaginal microbiota of pregnant women corroborated previous data, exhibiting a lactobacilli-dominant habitat compared to non-pregnant cases, while the endometrial bacterial colonization was characterized by a polymicrobial ecosystem in which lactobacilli were exclusively detected in the group that displayed unsuccessful in vitro fertilization. Overall, these preliminary results revisit our knowledge of the genitourinary microbiota, and highlight a putative relationship between vaginal/endometrial microbiota and reproductive success.

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Ultrasonography reappraisal of tubal patency in assisted reproduction technology patients: comparison between 2D and 3D-sonohysterosalpingography. A pilot study

Cited by 3 publications

References 0 publications

AIUM Practice Parameter for the Performance of Sonohysterography and Hysterosalpingo‐Contrast Sonography

AIUM Practice Parameter for the Performance of Sonohysterography and Hysterosalpingo‐Contrast Sonography

Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

Structural Variations of Vaginal and Endometrial Microbiota: Hints on Female Infertility

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