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Chapter 25 - Ultrasonography and hydrosalpinges in IVF

from Section 3: - Ultrasonography in assisted reproduction

Published online by Cambridge University Press:  07 September 2011

By
Annika Strandell  and
Seth Granberg
Edited by
Botros R. M. B. Rizk
Botros R. M. B. Rizk
Affiliation:
University of South Alabama
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Summary

This chapter discusses the usefulness of ultrasound in diagnosing normal and abnormal fallopian tubes using two-dimensional (2D) and three-dimensional (3D) transvaginal ultrasonography (TVS) and hysterosalpingo-contrast sonography (HyCoSy). HyCoSy involves the introduction of fluid into the uterine cavity and the fallopian tubes. The role of HyCoSy as a first-line procedure for the assessment of tubal patency has been examined in several studies. In most of the studies, the diagnostic capabilities of HyCoSy have been compared with the established reference methods of hysterosalpingography (HSG) or laparoscopy with dye insufflation, or both, and in the majority of the studies Echovist was used as the ultrasonographic contrast medium. A multicenter study in Scandinavia compared laparoscopic salpingectomy with no intervention prior to the first in vitro fertilization (IVF) cycle. The study demonstrated significant improvement in pregnancy and birth rates after salpingectomy in patients with hydrosalpinges that were large enough to be visible on ultrasound.

Keywords

congenital uterine malformationshysterosalpingographymüllerian anomaliestransvaginal ultrasonographytwo-dimensional ultrasonographythree-dimensional ultrasonographysonohysterographyseptum
Type
Chapter
Information
Ultrasonography in Reproductive Medicine and Infertility , pp. 202 - 212
Publisher: Cambridge University Press
Print publication year: 2010

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