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Published on: October 13, 2023
Side effects and complications of sonohysterosalpingography
Salvatore Dessole1, Mario Farina, Giovanni Rubattu
1Department of Pharmacology, Gynecology and Obstetrics, University of Sassari, Sassari, Italy. dessole@uniss.it
Objective:
To evaluate the side effects and complications of, difficulties with, and possible solutions to the problems associated with sonohysterosalpingography.
Design:
Prospective study.
Setting:
University hospital.
Patient(S):
One thousand, one hundred fifty-three patients who underwent sonohysterosalpingography to investigate abnormal uterine bleeding, infertility, thick endometrium at transvaginal ultrasonography, müllerian abnormalities, or the Asherman syndrome.
Main Outcome Measure(S):
Side effects and complications of and difficulties related to the procedure. Tolerance was assessed by using a pain-rating scale.
Result(S):
Ninety-three percent (1,074 of 1,153) procedures were performed correctly. Investigation was not completed in 79 (7%) women; a second attempt was successful in 60 of these patients. Side effects, such as moderate or severe pelvic pain, vasovagal symptoms, nausea, and vomiting, occurred in 102 (8.8%) women. Such complications as fever and peritonitis occurred in 0.95% of patients.
Conclusion(S):
Sonohysterosalpingography is a simple, safe, and well-tolerated technique that has a low rate of side effects and rare complications.
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