Therefore in light of this study, physicians performing the HSG test as part of a diagnostic work-up of subfertility can consider using an oil-based contrast which may yield a further serendipitous benefit on conception rates as compared to using a water-based contrast. This interesting report is of the largest study to date both to confirm this and also to suggest that the use of oil-based culture media is better than water-based media in achieving this effect.
HSG gives excellent and accurate diagnostic information about pelvic anatomy, the uterine cavity and tubal patency. This well designed and controlled study now quantifies the beneficial therapeutic effect that this diagnostic investigation can produce. This exciting and well-designed study strongly suggests that flushing with oil could help some couples with infertility get pregnant naturally. Since flushing with dye is already done to check the fallopian tubes of infertile women, I can see this being a relatively straightforward treatment to implement.
This is a well conducted large scale multi-centre study with sufficient power to answer this question. It is usually done after the menstrual period ends but before ovulation. A woman is positioned under a fluoroscope a x-ray imager that can take pictures during the study on a table. Her cervix is cleaned, and a device cannula is placed into the opening of the cervix. The doctor gently fills the uterus with a liquid containing iodine a fluid that can be seen by x-ray through the cannula.
The contrast will be seen as white on the image and can show the contour of the uterus as the liquid travels from the cannula, into the uterus, and through the fallopian tubes. As the contrast enters the tubes, it outlines the length of the tubes and spills out their ends if they are open.
Abnormalities inside the uterine cavity may also be detected by the doctor observing the x-ray images when the fluid movement is disrupted by the abnormality. Sign in. Forgot your password? Get help. Create an account. Password recovery. FirstCry Parenting.
Getting Pregnant Fertility. Sabiha Anjum Obstetrician and Gynaecologist. In This Article. What Is a Hysterosalpingogram? Non-hormonal Birth Control — Pros and Cons. Sonohysterogram for Fertility — Procedure, Benefits, and Risks. Chicken Kormaa January 5, Baani Sethi - November 12, An absence seizure is a condition that has symptoms not immediately recognizable by most people.
The condition is characterized by sudden and frequent episodes Milo Name Meaning and Origin November 10, Xavier Name Meaning and Origin November 10, November 10, Endometrial scratching for subfertility: Everyone's doing it.
Hum Reprod. Endometrial 'scratching': What the data show. Curr Opin Obstet Gynecol. Hydrotubation in the management of female infertility: Outcome in low resource settings. East Afr Med J. Farquhar C. Endometrial scratching: How much evidence do you need to stop offering this to women having in vitro fertilization? Fertil Steril. Contrast ultrasonography for tubal patency. J Minim Invasive Gynecol. Assessment of tubal patency: A prospective comparison of diagnostic hysteroscopy and laparoscopic chromopertubation.
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