Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3937747 | Fertility and Sterility | 2011 | 9 Pages |
ObjectiveTo evaluate the scientific literature on current methods of uterine cavity and tubal patency assessment.DesignReview 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.