Hysterosalpingography with color Doppler ultrasonography

Article Abstract:

It is estimated that infertility affects 3 million couples in the US, and blockage of the fallopian tubes (tubal occlusion) accounts for roughly 25 percent of all cases of infertility. The fallopian tubes receive the eggs that are released from the ovaries and transport them to the uterus. When theses tubes become blocked, the sperm cannot reach the eggs to fertilize them. The most common procedures used to diagnose tubal occlusion are called X-ray hysterosalpingography and chromopertubation. Recently, a new technique has been developed for diagnosing tubal occlusion. This technique uses ultrasound (Doppler ultrasonography) to take pictures of the fallopian tubes after they have been injected with a radioactive, opaque fluid (hysterosalpingography). A diagnosis of tubal occlusion is made if the fluid is unable to pass through the fallopian tubes. To determine the accuracy of Doppler ultrasonography in diagnosing tubal occlusion, 129 infertile women were studied. Ultrasound was performed on all of the women, and X-ray hysterosalpingography and/or chromopertubation were performed on 85 subjects. Ultrasound diagnoses had a sensitivity of 81 percent (it accurately diagnosed tubal occlusion in 81 percent of the patients with tubal occlusion) and a specificity of 94 percent (it showed no tubal occlusion in 94 percent of the patients with tubal occlusion). The results of ultrasonography were similar to the results obtained with X-ray hysterosalpingography and chromopertubation in 81 percent of the cases. It is concluded that Doppler ultrasonography is at least as accurate as other conventional methods for diagnosing tubal occlusion, and that it is safer and costs less. (Consumer Summary produced by Reliance Medical Information, Inc.)

Ultrasound imaging, Doppler ultrasonography

---

Pregnancy rates after peritoneal ovum-sperm transfer

Article Abstract:

It is estimated that infertility affects 3 million couples in the US. These couples have several different options available to them, depending on the cause of infertility. Gamete intrafallopian transfer is a procedure that involves placing eggs and sperm in the fallopian tubes (the natural site of fertilization). This procedure results in pregnancy in approximately 27 percent of the attempted cases. In vitro fertilization involves combining eggs and sperm in a test tube and transferring the fertilized egg into the woman's body. This procedure results in pregnancy in approximately 16 percent of the attempted cases. Another procedure, called peritoneal ovum-sperm transfer, involves injecting eggs and sperm into the peritoneal cavity. This procedure can be performed in the doctor's office, does not require surgery and takes approximately 30 minutes to perform. This article describes the outcome of 12 women with unexplained infertility who underwent 23 cycles of peritoneal ovum-sperm transfer. The women were treated with a hormone called human gonadotropin to stimulate the release of eggs from the ovaries. The women were sedated and given local anesthesia, and the eggs were collected using a long needle inserted into the vagina. When the eggs and sperm were injected into the peritoneal cavity, this procedure resulted in pregnancy in six of the women, with a pregnancy rate of 26 percent per cycle of treatment. It is concluded that peritoneal ovum-sperm transfer may be a useful method for achieving pregnancy in women with unexplained infertility. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Methods, Ovum implantation

---

A clinical comparison of sonographic hydrotubation and hysterosalpingography

Article Abstract:

Two methods of investigating the female reproductive tract, sonographic hydrotubation and hysterosalpingography (HSG), are compared in this study of 60 infertile women. Sonographic hydrotubation is a method in which sterile saline is infused into the uterus and its location visualized with ultrasound to determine abnormalities in uterine shape. HSG uses radiopaque contrast media and X-ray to visualize the reproductive organs: it is labor-intensive and carries the risk of allergic reaction to the media. The subjects underwent examination with both procedures within four weeks of each other. Forty-nine women had similar findings with both techniques: in 41 cases, the uterus was normal. Discrepancies in the results were seen in 11 cases: for nine women, sonography revealed fibroids that were not seen with HSG. Forty-four subjects had disease of the fallopian tubes: of these, 30 had similar findings with both techniques. The remaining 14 women underwent diagnostic laparoscopy (insertion of a fiberoptic tube into the abdomen through a small incision). In 11 cases, the sonographic diagnosis was confirmed. Overall, the findings from sonography and HSG were similar in 82 percent of the cases in diagnosing uterine abnormalities and in 72 percent of the cases in diagnosing tubal disease. Sonographic hydrotubation is simple to perform and should be used for initial studies of the uterus and fallopian tubes. It could replace HSG as a preliminary test. (Consumer Summary produced by Reliance Medical Information, Inc.)

Usage, Uterus, Diagnosis, Ultrasonic, Diagnostic ultrasonography

Similar abstracts:

• Abstracts: Placental transfer of indomethacin in the human pregnancy. The use of color flow Doppler ultrasonography to diagnose umbilical cord entanglement in monoamniotic twin gestations
• Abstracts: Impetigo: current etiology and comparison of penicillin, erythromycin, and cephalexin therapies. Comparison of amoxicillin and clavulanic acid (Augmentin) for the treatment of nonbullous impetigo
• Abstracts: Venous Doppler ultrasonography in the fetus with nonimmune hydrops. Spontaneous closure of the human fetal ductus arteriosus - a cause of fetal congestive heart failure
• Abstracts: Fetal monitoring with pulse oximetry. The vanishing bowel. Case report of bowel atresia following gastroschisis
• Abstracts: Mid-second-trimester labor induction: concentrated oxytocin compared with prostaglandin E2 vaginal suppositories

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.