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Sonohysterosalpingography: a suitable choice in infertility workup

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Abstract

Purpose

To evaluate the efficacy, compliance, and cost effectiveness of sonohysterosalpingography (HyCoSy) compared with hysteroscopy for uterine cavity evaluation and compared with RX-hysterosalpingography (RX-HSG) for tubal patency determination.

Methods

Three hundred and eight infertile patients underwent HyCoSy, hysteroscopy, and RX-HSG. We compared sensitivity, specificity, positive and negative predictive values (PPV and NPV), discomfort level, and cost of all three procedures.

Results

Sensitivity, specificity, PPV, and NPV were higher for HyCoSy than for hysteroscopy but the differences were not significant. HyCoSy also has the same accuracy as RX-HSG. Pain perception and cost were higher for RX-HSG and hysteroscopy than for HyCoSy.

Conclusions

HyCoSy can be regarded as a procedure for initial evaluation of the uterine cavity and of tubal patency in infertile patients.

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Conflict of interest

The authors declare they have no commercial and/or financial interests, have no relationship with manufacturers of pharmaceuticals, laboratory supplies, and/or medical devices, and have no relationship with commercial providers of medically related services.

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Authors and Affiliations

  1. Section of Obstetrics and Gynaecology, Department of Biomedical Sciences and Advanced Therapies, University of Ferrara, Corso Giovecca n. 203, 44121, Ferrara, Italy

    Angela Graziano, Giuseppe Lo Monte, Ilaria Soave & Roberto Marci

  2. Department of Woman Health and Territory’s Medicine, University of Rome Sapienza, S. Andrea Hospital, Rome, Italy

    Donatella Caserta & Massimo Moscarini

Authors
  1. Angela Graziano
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  2. Giuseppe Lo Monte
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  3. Ilaria Soave
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  4. Donatella Caserta
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  5. Massimo Moscarini
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  6. Roberto Marci
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Corresponding author

Correspondence to Roberto Marci.

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Cite this article

Graziano, A., Lo Monte, G., Soave, I. et al. Sonohysterosalpingography: a suitable choice in infertility workup. J Med Ultrasonics 40, 225–229 (2013). https://doi.org/10.1007/s10396-012-0417-0

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  • DOI: https://doi.org/10.1007/s10396-012-0417-0

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