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Review
. 2011 Jun;95(7):2171-9.
doi: 10.1016/j.fertnstert.2011.02.054. Epub 2011 Mar 31.

Current methods of tubal patency assessment

Rhiana D Saunders  1 , James M Shwayder, Steven T Nakajima
Affiliations
Free article
Review

Current methods of tubal patency assessment

Rhiana D Saunders et al. Fertil Steril. 2011 Jun.
Free article

Abstract

Objective: To evaluate the scientific literature on current methods of uterine cavity and tubal patency assessment.

Design: Review of literature and appraisal of relevant articles using MEDLINE, OVID, EMBASE, and Cochrane on-line databases.

Result(s): Current pelvic imaging subfertility investigations are compared with the gold standard laparoscopy. The technical aspects, associated risks, potential advantages, and weighted utility of each screening study are discussed. A comprehensive analysis of the clinical evidence regarding the safety, tolerance, and accuracy of hysterosalpingo-contrast sonography compared with alternative screening studies and/or laparoscopy is reviewed.

Conclusion(s): Increasing evidence supports the more recently described hysterosalpingo-contrast sonography procedure as an acceptable screening study for the subfertile patient with the potential advantage that it is a comprehensive evaluation, methodologically simple, cost effective, and time efficient.

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