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Hysterosalpingography

Hysterosalpingography is a radiographic imaging technique used to evaluate the uterus and fallopian tubes.
During the procedure, a contrast dye is injected into the uterus, and X-ray images are taken to assess the patency and structural integrity of the reproductive organs.
This non-invasive procedure can help diagnose infertility, detect congenital anomalies, and identify other uterine or tubal pathologies.
Hysterosalpingography provides valuable information to guide reproductive health and fertility treatments.

Most cited protocols related to «Hysterosalpingography»

Animals were used under the supervision of an approved institutional protocol. Adult female Yorkshire pigs (mean weight 30 kg) were purchased from E.M. Parsons and Sons (Hadley, MA). General anesthesia was induced with 4.4 mg/kg of intramuscular Telazol (Fort Dodge Labs, Fort Dodge, IA). Once sedated, animals were intubated with a cuffed endotracheal tube, and anesthesia was maintained with 2% isoflurane/balance O2. A lower midline abdominal incision was used to expose the uterus and fallopian tubes. A NIR fluorescent (800 nm emission) hysterosalpingogram was performed using 10 μM indocyanine green (ICG; Akorn, Decatur, IL) in saline injected in utero. NIR fluorescence (700 nm emission) angiography was performed by intravenous bolus injection of 1 mg/kg methylene blue (Akorn). Real-time NIR fluorescence imaging was performed as described in [4 (link)] except that each independent NIR fluorescence image, i.e., 700 nm emission and 800 nm emission, could be assigned different pseudo-colors from a multi-color palette, and could have its brightness, contrast, and gamma adjusted independently by the surgeon.
Publication 2009
Abdomen Anesthesia Angiography Animals Fallopian Tubes Fluorescence Gamma Rays General Anesthesia Hysterosalpingography Indocyanine Green Isoflurane Methylene Blue Pigs Saline Solution Sons Supervision Surgeons Telazol Uterus Woman
A total of 750 infertile women 18 to 40 years of age with the polycystic ovary syndrome who had no major medical disorders and who were not taking confounding medications (primarily sex steroids, other infertility drugs, and insulin sensitizers, as described in the study protocol), their male partners, and their neonates participated in the study.9 (link) We used modified Rotterdam criteria1 to diagnose the polycystic ovary syndrome. Accordingly, all participating women had ovulatory dysfunction combined with hyperandrogenism (on the basis of hirsutism9 (link) or an elevated testosterone level10 (link)), polycystic ovaries (defined by an increased number of small antral follicles [≥12 follicles that were <10 mm in diameter] or an increased individual ovarian volume [>10 cm3] in ≥1 ovary), or both.9 (link) Other disorders that mimic the polycystic ovary syndrome, including thyroid disease and prolactin excess, were ruled out.
Additional eligibility criteria were at least one patent fallopian tube and a normal uterine cavity, as determined by sonohysterography (on the basis of the presence of free fluid in the pelvis), hysterosalpingography, a combined hysteroscopy and laparoscopy, or evidence of an intrauterine pregnancy within the previous 3 years; a male partner with a sperm concentration of at least 14 million per milliliter, with documented motility according to World Health Organization cutoff points,11 (link) in at least one ejaculate during the previous year; and a commitment on the part of the women and their partners to have regular intercourse during the study with the intent of pregnancy.
Publication 2014
Coitus Dental Caries Diagnosis Eligibility Determination Fallopian Tubes Female Infertility Fertility Agents Gonadal Steroid Hormones Graafian Follicle Hair Follicle Hyperandrogenism Hysterosalpingography Hysteroscopy Infant, Newborn Insulin Laparoscopy Males Motility, Cell Ovary Ovulation Pelvis Pharmaceutical Preparations Polycystic Ovary Syndrome Pregnancy Prolactin Sperm Testosterone Thyroid Diseases Uterus Woman
Studies were selected if the prevalence of the abnormal test results for RPL was reported. Only studies which compared women with two pregnancy losses to women with three or more losses were included. Based on current reviews of the literature, the following evidence-based risk-factors for RPL were considered in this review: parental structural chromosomal abnormalities, uterine anomalies, APS, inherited thrombophilia and thyroid disorders. Results of parental chromosomal analysis were considered abnormal if significant rearrangements (e.g. balanced translocations and mosaics) were present. Studies were selected when chromosome analyses were performed with parental peripheral blood lymphocyte cultures. Studies for uterine anomalies were selected if diagnostic testing was performed by hysterosalpingography, hysteroscopy or sonohysterography. Congenital abnormalities (e.g. arcuate uterus, septate uterus, bicornuate uterus and unicornuate uterus) were considered as uterine anomalies.
APS was defined as the presence of thrombosis, pregnancy loss or female morbidity and persistent circulating antiphospholipid antibodies (aPL). aPLs (lupus anticoagulant, IgM anticardiolipin antibodies, IgG anticardiolipin antibodies and beta-2 glycoprotein 1 antibodies) were considered to be present if a test was positive on two occasions >12 weeks apart (Miyakis et al., 2006 (link)).
Inherited thrombophilia was defined in four different sub-categories: Factor V Leiden mutation, prothrombin gene mutation, protein S deficiency and protein C deficiency. Factor V Leiden mutation was considered abnormal if there was a heterozygous or homozygous factor V Leiden G1691A mutation found. Prothrombin gene mutation was defined as heterozygous or homozygous mutations for the G20210A prothrombin (factor II) gene. Functional protein C activity less than 70% and functional protein S activity less than 70% were considered abnormal.
Thyroid disorders were defined as serum levels of thyroid-stimulating hormone (TSH) <0.45 mU/L or TSH >4.5 mU/L with an abnormal free thyroxine level with or without the presence of thyroid peroxidase antibodies.
Studies were excluded when the population examined or the diagnostic methods used were not accurately defined. Only publications in English were considered in our selection.
Publication 2020
Antibodies Antibodies, Anticardiolipin Antiphospholipid Antibodies beta 2-Glycoprotein I Bicornuate Uterus Blood Culture Chromosome Aberrations Chromosomes Congenital Abnormality Diagnosis factor V Leiden Females Gene Rearrangement Genes Heterozygote Homozygote Hysterosalpingography Hysteroscopy Lupus Coagulation Inhibitor Lymphocyte Mutation Parent Pregnancy Protein C Protein C Deficiency Protein S Protein S Deficiency Prothrombin Serum Thrombophilia, hereditary Thrombosis Thyroid Diseases thyroid microsomal antibodies Thyrotropin Thyroxine Translocation, Chromosomal Uterine Anomalies Uterus Uterus, Septate Woman
We initially conducted a literature review to identify questionnaires that possibly included domains of interest for our research [7 (link), 11 (link)–20 (link)]. We also contacted authors to obtain copies of their instruments, where possible. We used items verbatim from some questionnaires [12 (link), 13 (link)], and adapted items from others (as referenced in Table 1). Based on this review and consultation with experts in the field, we constructed a questionnaire with the domains of interest for our research, called here the fertility experiences questionnaire (FEQ).

Domains, components, details and sources in the fertility experiences questionnaire

DomainsaWritten component (paper or online)Phone interview componentDetails
General health [28 (link)]XExercise, tobacco, caffeinated beverages, alcohol, past medical history, pap smear
Menstrual historyXAge at menarche, frequency and intensity of menses (when not taking hormonal birth control or fertility treatment)
Sexual historyXNumber of lifetime sex partners, history of sexually transmitted infection
Pregnancies and attempts to conceive [23 (link)]Definitions and list of attemptsVerification and detailed questions about attemptsStart month/year for “attempt,” how attempt started and ended, partner for attempt
Desire to conceive during each attempt [29 (link)]XLikert scale for desire for pregnancy and pereceived partner desire for pregnancy at beginning, middle and end of each attempt
Pregnancy outcomes [11 (link)]Dates and types of outcomesVerification and detailsLive birth, miscarriage, ectopic, stillbirth, molar pregnancy, termination, currently pregnant, other, and date ended. For live birth: state where born, birth weight, sex, hospital stay of 7 days or more, breastfeeding.
Fertility-related medical evaluationsbXUltrasound of uterus/ovaries, follicular ultrasound, hysterosalpingogram, hysteroscopy, D&C, blood tests
Fertility-related surgeriesbXC-section, cervical cryotherapy or LEEP, laparoscopy, laparotomy, surgical treatment of endometriosis, surgery on ovaries, tubes, or uterus, other abdominal or pelvic surgery, partner vasectomy reversal, partner other urologic surgery
Fertility-related diagnosesbXUnexplained infertility, endometriosis, PCOS, low progesterone or estrogen, not ovulating, abnormal ovulation, limited cervical mucus, pelvic adhesions, blocked fallopian tubes, uterine fibroids, uterine polyps, luteal phase defect, male factor, other
Fertility treatments recommended by physician or practitioner, and reasons for using or declining treatmentsXDetails about treatments received, and linking timing to attempts to conceive, and whether linked to conceptionFertility-enhancing drugs, artificial insemination, in vitro fertilization with or without intracytoplasmic sperm injection, donor semen or donor eggs, acupuncture, fertility diets, herbal treatments
Self-help measures for trying to conceive (fertility awareness, diet, etc.)Ascertained and linked to attempts to conceive, and whether linked to conceptionTimed intercourse by counting days, basal body temperature, urine ovulation test kits, cervical mucus or fluid; took herbs, fertility vitamins, or supplements; lost weight; adhered to fertility diets; took a daily drug to enhance fertility; took a drug for ovulation; took hormones like progesterone
Adoption experiencesXEver applied for adoption, any adopted children
Stress and social situation [12 (link)]XLikert scale questions about impact of fertility problems and/or treatment on life, relationships with partner, family, friends; level of support from family, partner, friends; negative reactions from family, partner, friends.
Experience of past fertility treatment[12 (link)]XLikert scale questions about perceptions of past treatment: had enough time, shared decision making, feeling listened to, receiving explanations, addressing emotional issues
Demographic informationXMarital status and date, education, race, ethnicity, country of birth, country of parents’ birth, languages spoken, religious preference, occupation, income, whether have written records of fertility experiences, best times to contact by phone
Friends and family with infertilityXNumber of friends or family diagnosed with infertility, friends or family members who have used any of the fertility measures listed previously above
Hypothetical interest in participating in studies of fertility treatmentXWould she have been willing to participate in a study that would involve lifestyle advice, education about fertile days, herbs or acupuncture, medication, artificial insemination, or IVF.
Sources of informationXXDid the participant consult written records to complete the questionnaire?

aCitations indicate other studies from which sections of the questionnaire were taken or adapted

bItems in these sections of the questionnaire were adapted from questions used in research conducted by Mary Croughan, PhD, University of California, San Francisco

Publication 2015
Abdomen Artificial Insemination Awareness Basal Bodies Beverages Birth Weight BLOOD Cervix Mucus Childbirth Coitus Cryotherapy Diet Dietary Supplements Eggs Emotions Endometriosis Estrogens Ethanol Ethnicity Fallopian Tubes Family Member Fertility Fertilization in Vitro Friend Hormonal Contraception Hormones Hydatidiform Mole Hysterosalpingography Hysteroscopy Laparoscopy Laparotomy Luteal Phase Males Menarche Menstruation Neck Operative Surgical Procedures Ovary Ovulation Parent Pelvis Pharmaceutical Preparations Physicians Plant Embryos Polycystic Ovary Syndrome Polyps Pregnancy Progesterone Sexual Partners Sperm Injections, Intracytoplasmic Spontaneous Abortion Sterility, Reproductive Therapy, Acupuncture Tissue Adhesions Tissue Donors Tobacco Products Ultrasonography Urinalysis Uterine Fibroids Uterus Vasovasostomy Vitamins

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Publication 2015
Anesthesia Animals Catheters Cervix Uteri Dental Caries Diagnosis Digital Radiography Forceps Hysterosalpingography Inhalation Iopamidol Isoflurane Isovue Ketamine Radio-Opaque acrylic resin Saline Solution Sedatives Silicones Speculum Ultrasonography Uterus Vagina Vascular Patency Vulva

Most recents protocols related to «Hysterosalpingography»

DOR was made in accordance with the Poseidon (Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number) classification groups 3 and 4 [28 (link)], defined as the presence of low serum AMH hormone level (< 1.2 ng/ml) or low AFC (< 5) at time of ovarian stimulation initiation. All patients who met the criteria of Poseidon Groups 3 and 4 and had at least one embryo created intended to transfer during the current cycle were included.
Exclusion criteria were coexisting endocrine disorders (diabetes mellitus, untreated hyperprolactinemia, untreated thyroid dysfunction, congenital adrenal hyperplasia, and Cushing’s syndrome), untreated hydrosalpinx, and uterine anomaly confirmed either by hysterosalpingography or hysteroscopy. After applying the exclusion criteria, 440 DOR women who underwent fresh ET were included for final analysis. The study group included 211 patients with vitrified M-II oocyte accumulation for later simultaneous insemination. This group was named “diminished ovarian reserve, accumulation of vitrified oocytes” (DOR-Accu). In this group, we used double stimulation in the same ovarian cycle to maximize the oocyte number retrieved in a short time frame [29 (link), 30 (link)]. After oocyte retrieval, all mature oocytes were vitrified and stored. Then, luteal phase ovarian stimulation following oocyte retrieval was performed based on the number of remainder AFC. The decision about whether to stop oocyte accumulation was based on two factors as follows: (1) the vitrified M-II oocytes’ total number reaches 10–15, which was expected to maximize the LBR [31 (link)–33 (link)], and (2) the patient’s own decision.
The control group included 229 DOR patients who underwent GnRH antagonist protocol, whose fresh mature oocytes were inseminated, and subsequent ET was named “diminished ovarian reserve, fresh oocytes” (DOR-fresh). Surplus embryos in both groups had been vitrified and transferred in their following cycle until surplus embryos were exhausted or the patient got at least one live infant delivery.
Publication 2023
Cushing Syndrome Diabetes Mellitus Embryo Endocrine System Diseases Gonadorelin Hormones Hyperplasia, Congenital Adrenal Hyperprolactinemia Hysterosalpingography Hysteroscopy Infant Insemination Luteal Phase Obstetric Delivery Oocyte Retrieval Oocytes Ovarian Reserve Ovarian Stimulation Patients Reading Frames Serum Thyroid Gland Uterine Anomalies Woman
Participants included couples undergoing their first ovarian stimulation (who have been unsuccessful in achieving pregnancy after 12 months or more) in which the male partner’s BMI was between 20 and 30 kg/m2 from January 2016 to October 2021.
The inclusion criteria were as follows: age between 18 and 45 years; basic literacy; at least 1-year history of infertility; female partner age <35 years; female partner BMI <24.5–18 kg/m2; FSH ≤ 10 IU/L (Day 2 of menstrual cycle); AMH ≥ 1.0 ng/mL; OR antral follicle count > 10; evidence of at least one patent fallopian tube as determined with either a hysterosalpingogram or laparoscopy showing at least one patent fallopian tube or a saline infusion sonogram showing spillage of contrast material; regular cycles defined as ≥25 days and ≤35 days in duration; evidence of ovulation including biphasic basal body temperatures, positive ovulation predictor kits or progesterone level ≥3 ng/mL, couples in which the male partner had a confirmed contributing cause of the couple’s infertility. The exclusion criteria were as follows: patients with recent fever; external genital abnormalities; cryptorchidism; varicocele; presence of anti-sperm antibodies; treatments that may alter spermatogenesis; patients with chronic diseases, e.g., liver/renal disease, hypertension and diabetes; male patient BMI below 19.5 or over 30 kg/m2. Teratozoospermia was described according to the WHO 2010 guidelines and Kruger’s strict criteria (sperm morphology less than 4%). The sample size was calculated as previously described [36 (link),37 (link)], and the final total number of couples was 385 (Figure S1).
Publication 2023
Anti-Antibodies Body Temperature Congenital Abnormality Contrast Media Cryptorchidism Diabetes Mellitus Disease, Chronic Fallopian Tubes Fever Graafian Follicle High Blood Pressures Hysterosalpingography Kidney Kidney Diseases Laparoscopy Liver Liver Diseases Males Menstrual Cycle Ovarian Stimulation Ovulation Patients Pregnancy Progesterone Saline Solution Sperm Spermatogenesis Sterility, Reproductive Teratozoospermia Ultrasonography Varicocele Vulva Woman
The clinical data of 104 hospital-admitted PCOS patients at the Second People’s Hospital of Wuhu from January 2018 to December 2020 were selected. The inclusion criteria were as follows: (I) Meet the PCOS-related criteria established in the 2003 Dutch PCOS Conference (10 (link)), including at least 2 of the following: oligomenorrhoea or amenorrhea, clinical or chemical testosterone >0.75 ng/mL, hyperandrogenism and/or polycystic ovary morphology (PCOM) by ultrasound examination; (II) The age range from postmenarche to within 40 years old; (III) The reproductive function of the spouse is good, and the semen quality is normal; (IV) Hysterosalpingography (HSG)/laparoscopy shows at least 1 fallopian tube (V) Did not receive other treatment 3 months before enrollment; (VI) Have complete clinical data and follow-up data, and at the same time give informed consent to the study. The exclusion criteria were as follows: (I) Those who do not meet the diagnostic criteria; (II) Gonadal hypoplasia, abnormal menstruation caused by reproductive tract abnormalities, organic lesions of the reproductive organs, and irregular menstrual cycles; (III) Those who have taken sex hormones within the 3 months prior to this study; (IV) Those with diabetes, liver and kidney disease, abnormal thyroid function, hyperprolactinemia, and other diseases. The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013). The study was approved by institutional of the Second People’s Hospital of Wuhu (No. SZ2018001) and informed consent was taken from all the patients.
Publication 2023
Conferences Congenital Abnormality Diabetes Mellitus Diagnosis Fallopian Tubes Genitalia Gonadal Steroid Hormones Gonads Hyperandrogenism Hyperprolactinemia hypoplasia Hysterosalpingography Kidney Diseases Laparoscopy Liver Menstruation Disturbances Oligomenorrhea Patient Admission Patients Polycystic Ovary Syndrome Reproduction Semen Quality Spouse Testosterone Thyroid Diseases Ultrasonography
Uterine lavage samples were successfully collected from 90 patients following a protocol under general anesthesia before surgery. An antiseptic lotion was used to clean the cervix. Using bullet forceps, the cervix was grasped, a two-way hysterosalpingography catheter was inserted into the cervical canal, and the balloon was inflated with approximately 2–3 mL of saline to seal the cervical canal and prevent retrograde leakage of saline. If the cervical canal was too narrow to pass the catheter, it was dilated to 2–3 mm with Hegar dilators. One 5-mL syringe containing 5 mL of saline was connected to the catheter tube. By pushing on the plunger of the syringe containing saline, the uterine cavity was slowly perfused. Then the syringe was gently pulled out and uterine lavage was collected. Finally, the balloon was deflated, and the catheter was removed.
Immediately following the collection procedure, the uterine lavage sample was centrifuged for 15 min at 2000× g. The resulting supernatant was discarded, and the cellular debris was washed with a 2 mL phosphate buffered saline (PBS) solution. The resulting uterine lavage cell pellet was resuspended in 2 mL PBS and stored at −80 °C until use.
1 mL of uterine lavage sample was used for DNA extraction using the MagmaxTM Cell-free Isolation Kit (Applied Biosystems, Thermo Fisher Scientific (TFS), Foster, CA, USA) following the manufacturer’s protocol. The final tissue and uterine cavity lavage DNA samples were stored at −20 °C until library preparation.
During surgery, a small sample of tumor tissue was allocated for analysis and immediately stored at −80 °C. 46 paired tissue and uterine lavage samples were collected for the analysis: 29 type II OC, 7 other ovarian tumors, 1 endometrial cancer, and 1 RRS group, 8 benign tumors. For genomic DNA extraction, the ovarian tissue samples were mechanically homogenised in liquid nitrogen using a mortar and pestle. 10–20 mg of tissue powder was digested with proteinase K (ThermoScientific, TFS, Vilnius, Lithuania) for 16 h, then genomic DNA was purified following standard phenol-chloroform extraction and ethanol precipitation protocols. The final DNA was dissolved in nuclease-free water (Invitrogen, TFS, Austin, TX, USA), and stored at −20 °C until further steps.
Publication 2023
Anti-Infective Agents, Local austin Benign Neoplasm Catheters Cells Cell Separation Cervix Uteri Chloroform Dental Caries DNA Library Endometrial Carcinoma Endopeptidase K Ethanol Forceps General Anesthesia Genome Hysterosalpingography Neoplasms Nitrogen Operative Surgical Procedures Ovarian Neoplasm Ovary Patients Phenols Phocidae Phosphates Powder Saline Solution Syringes Tissues Uterus
The present study included data from PCOS couples underwent COS and IUI treatments at our center between January 1, 2016 and December 31, 2020. Clinical and demographic information were obtained from the medical archives. PCOS was diagnosed with the Rotterdam consensus.[3 ] The exclusion criteria were sperm anomality (the male factor), women with body mass index ≥ 30 kg/m2, endometriosis, obstruction of fallopian tube, and uterine or pelvic anomaly demonstrated either by hysterosalpingography or hysteroscopy. As depicted in the flowchart of Figure 1, a total of 404 cycles of COS and IUI treatments were finally enrolled, and divided into 2 groups according to the regime of trigger, that is the dual-trigger group (GnRH-a plus HCG, n = 109) and the HCG-only group (n = 295). Upon the first visit, each couple underwent a standard infertility workup in our center. For men, sperm analyses were performed after 3 to 5 days of sexual abstinence. For women, basal serum hormone measurements were conducted on day 3 to 5 of the menstrual cycle. This study was approved by The institutional ethics committee of our hospital (Approval number: 2015). Written informed consents were obtained from all the couples. This study was conducted according to the principles of the declaration of Helsinki.
Publication 2023
Endometriosis Gonadorelin Hormones Hysterosalpingography Hysteroscopy Index, Body Mass Institutional Ethics Committees Males Menstrual Cycle Pelvis Polycystic Ovary Syndrome Precipitating Factors Serum Sperm Sterility, Reproductive Tubal Obstruction Uterus Woman

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More about "Hysterosalpingography"

Hysterosalpingogram (HSG) is a radiological imaging technique used to evaluate the uterus and fallopian tubes.
This non-invasive procedure involves injecting a contrast dye into the uterus and capturing X-ray images to assess the patency and structural integrity of the reproductive organs.
Hysterosalpingography can help diagnose infertility, detect congenital anomalies, and identify other uterine or tubal pathologies.
The procedure provides valuable information to guide reproductive health and fertility treatments.
Synonyms for hysterosalpingography include tubal patency test, uterosalpingography, and salpingography.
Related terms include infertility, Follistim (a fertility medication), SPSS ver. 20.0 (a statistical software), Stat Fax 4200 (a microplate reader), and AccuBind® ELISA (an enzyme-linked immunosorbent assay).
Key subtopics within hysterosalpingography include indications for the procedure, patient preparation, technique of dye injection, radiographic imaging, interpretation of findings, and potential complications.
The information obtained from hysterosalpingography can help healthcare providers develop appropriate treatment plans, such as surgical interventions or assisted reproductive technologies like in vitro fertilization (IVF).
By understanding the insights and applications of hysterosalpingography, researchers and clinicians can optimize reproductive health research and advance fertility treatments.
PubCompare.ai's AI-driven platform can assist in this process by helping users identify the most effective hysterosalpingography protocols from literature, pre-prints, and patents.