Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup

BioMed Research International
N Exalto, M H Emanuel

Abstract

Tubal patency testing is an essential part of female subfertility evaluation. Traditionally, hysterosalpingography (HSG) was the first step to evaluate tubal patency. However, during the past decade Hysterosalpingo-Contrast Sonography (HyCoSy) was introduced in order to avoid radiation exposure and Hysterosalpingo-Foam Sonography (HyFoSy) has been developed as a safe and less painful alternative. The aim of this narrative review is to provide an overview of the currently available HyFoSy literature and related clinical aspects. A literature search was conducted using PubMed and Embase from the introduction of HyFoSy to March 2019. Unfortunately, a meta-analysis was not possible due to a too small number of studies, being mutually incomparable for the various subjects of clinical aspects, even for the reliability as a test for tubal patency. Nine small studies concluded that the accuracy and effectiveness as a test for tubal patency of 2D- and 3D-HyFoSy are comparable or even better than HSG or HyCoSy. With or without using Doppler techniques, 3D-HyFoSy does not seem to offer benefits above real-time 2D-HyFoSy. Five studies reported on pain and discomfort during HyFoSy, concluding that HyFoSy is a well-tolerated, less painful pr...Continue Reading

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Citations

Dec 19, 2020·Seminars in Reproductive Medicine·Nienke van WelieKim Dreyer
Dec 29, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yaakov MelcerRon Maymon
Nov 27, 2020·Journal of Gynecology Obstetrics and Human Reproduction·V EngelsJ L Alcázar
Aug 28, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Michal ZajicekJigal Haas
Oct 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Maria GrigovichShuchi K Rodgers

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Software Mentioned

HyCoSy
HyFoSy
Echovist®
Fertilityscan©

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