Abstract
Infertile women are examined to exclude tubal occlusion or a pelvic factor through indirect tests, such as hysterosalpingography (HSG), sonohysterosalpingography/hysterosalpingosonography (SH), and/or laparoscopy (Lps). Assisted reproductive technologies (ART) are proposed to resolve infertility according to the results of the above-mentioned diagnostic procedures. Today, Lps still represents the second option after several failures of in vivo attempts and before moving to conceive in vitro. The aim of this study was to establish the diagnostic power of HSG and SH compared with that of Lps and the efficacy of ART when each single test is used as an inclusion criterion. We recruited 2560 infertile women (aged 20 to 35) to undergo diagnostic and therapeutic procedures to address their infertility in our clinical theatre. Of these, 1080 women underwent Lps and hysteroscopy (Group 1), 525 underwent HSG (Group 2), and 955 underwent SH (Group 3). The positive and negative predictive values of sonosalpingosonography were 75.8% and 91.2% and those of hysterosalpingography were 71.8% and 88.2%, respectively. Endometriosis (stage II-IV of the revised American Society for Reproductive Medicine [ASRM] classification) was diagnosed laparoscopically in 344 out of 1080 women (32%). Only 44 women (13%) with endometriosis showed bilateral tubal occlusion. Pelvic factors other than tubal occlusions are neither diagnosed nor treated in a timely manner by indirect tubal patency tests. The conventional use of HSG and/or SH may increase the time required to find an adequate treatment by which to achieve a successful pregnancy.
| Original language | English |
|---|---|
| Title of host publication | Annals of the New York Academy of Sciences |
| Pages | 73-82 |
| Number of pages | 10 |
| Volume | 1127 |
| DOIs | |
| Publication status | Published - Apr 2008 |
Publication series
| Name | Annals of the New York Academy of Sciences |
|---|---|
| Volume | 1127 |
| ISSN (Print) | 00778923 |
| ISSN (Electronic) | 17496632 |
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Keywords
- Endometriosis
- Hysterosalpingography
- Hysterosalpingosonography
- Hysteroscopy
- Laparoscopy
- Pelvic factor
- Pelvic inflammatory disease
- Sonohysterosalpingography
- Sterility
- Tubal occlusion
- Tubal patency
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)
Cite this
Pelvic factor infertility : Diagnosis and prognosis of various procedures. / Bulletti, Carlo; Panzini, I.; Borini, A.; Coccia, E.; Setti, Paolo Levi; Palagiano, Antonio.
Annals of the New York Academy of Sciences. Vol. 1127 2008. p. 73-82 (Annals of the New York Academy of Sciences; Vol. 1127).Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
}
TY - GEN
T1 - Pelvic factor infertility
T2 - Diagnosis and prognosis of various procedures
AU - Bulletti, Carlo
AU - Panzini, I.
AU - Borini, A.
AU - Coccia, E.
AU - Setti, Paolo Levi
AU - Palagiano, Antonio
PY - 2008/4
Y1 - 2008/4
N2 - Infertile women are examined to exclude tubal occlusion or a pelvic factor through indirect tests, such as hysterosalpingography (HSG), sonohysterosalpingography/hysterosalpingosonography (SH), and/or laparoscopy (Lps). Assisted reproductive technologies (ART) are proposed to resolve infertility according to the results of the above-mentioned diagnostic procedures. Today, Lps still represents the second option after several failures of in vivo attempts and before moving to conceive in vitro. The aim of this study was to establish the diagnostic power of HSG and SH compared with that of Lps and the efficacy of ART when each single test is used as an inclusion criterion. We recruited 2560 infertile women (aged 20 to 35) to undergo diagnostic and therapeutic procedures to address their infertility in our clinical theatre. Of these, 1080 women underwent Lps and hysteroscopy (Group 1), 525 underwent HSG (Group 2), and 955 underwent SH (Group 3). The positive and negative predictive values of sonosalpingosonography were 75.8% and 91.2% and those of hysterosalpingography were 71.8% and 88.2%, respectively. Endometriosis (stage II-IV of the revised American Society for Reproductive Medicine [ASRM] classification) was diagnosed laparoscopically in 344 out of 1080 women (32%). Only 44 women (13%) with endometriosis showed bilateral tubal occlusion. Pelvic factors other than tubal occlusions are neither diagnosed nor treated in a timely manner by indirect tubal patency tests. The conventional use of HSG and/or SH may increase the time required to find an adequate treatment by which to achieve a successful pregnancy.
AB - Infertile women are examined to exclude tubal occlusion or a pelvic factor through indirect tests, such as hysterosalpingography (HSG), sonohysterosalpingography/hysterosalpingosonography (SH), and/or laparoscopy (Lps). Assisted reproductive technologies (ART) are proposed to resolve infertility according to the results of the above-mentioned diagnostic procedures. Today, Lps still represents the second option after several failures of in vivo attempts and before moving to conceive in vitro. The aim of this study was to establish the diagnostic power of HSG and SH compared with that of Lps and the efficacy of ART when each single test is used as an inclusion criterion. We recruited 2560 infertile women (aged 20 to 35) to undergo diagnostic and therapeutic procedures to address their infertility in our clinical theatre. Of these, 1080 women underwent Lps and hysteroscopy (Group 1), 525 underwent HSG (Group 2), and 955 underwent SH (Group 3). The positive and negative predictive values of sonosalpingosonography were 75.8% and 91.2% and those of hysterosalpingography were 71.8% and 88.2%, respectively. Endometriosis (stage II-IV of the revised American Society for Reproductive Medicine [ASRM] classification) was diagnosed laparoscopically in 344 out of 1080 women (32%). Only 44 women (13%) with endometriosis showed bilateral tubal occlusion. Pelvic factors other than tubal occlusions are neither diagnosed nor treated in a timely manner by indirect tubal patency tests. The conventional use of HSG and/or SH may increase the time required to find an adequate treatment by which to achieve a successful pregnancy.
KW - Endometriosis
KW - Hysterosalpingography
KW - Hysterosalpingosonography
KW - Hysteroscopy
KW - Laparoscopy
KW - Pelvic factor
KW - Pelvic inflammatory disease
KW - Sonohysterosalpingography
KW - Sterility
KW - Tubal occlusion
KW - Tubal patency
UR - http://www.scopus.com/inward/record.url?scp=42449092469&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=42449092469&partnerID=8YFLogxK
U2 - 10.1196/annals.1434.020
DO - 10.1196/annals.1434.020
M3 - Conference contribution
C2 - 18443333
AN - SCOPUS:42449092469
SN - 9781573317207
VL - 1127
T3 - Annals of the New York Academy of Sciences
SP - 73
EP - 82
BT - Annals of the New York Academy of Sciences
ER -