Sonohysterosalpingography: Comparison of foam and saline solution

Area of Science:

• Reproductive medicine
• Diagnostic imaging techniques
• Gynecological procedures

Background:

• Evaluating tubal patency is crucial for diagnosing infertility.
• Sonohysterosalpingography (sono-HSG) is a common diagnostic tool.
• Different contrast agents may affect diagnostic accuracy.

Purpose of the Study:

• To compare the diagnostic performance of HyFoSy (foam) versus HyCoSy (saline) for tubal patency assessment.
• To determine which sono-HSG method offers higher accuracy when compared to laparoscopy and dye test.

Main Methods:

• Prospective enrollment of 37 infertile women scheduled for laparoscopy.
• Randomization into two groups: HyFoSy (Group I) and HyCoSy (Group II).
• Comparison of sono-HSG findings with results from laparoscopy and dye test.

Main Results:

• HyFoSy demonstrated 94.4% concordance with laparoscopic findings, showing 87.5% sensitivity and 100% specificity.
• HyCoSy showed only 57.8% concordance, with 50% sensitivity and 66.6% specificity.
• HyFoSy significantly outperformed HyCoSy in accurately assessing tubal patency.

Conclusions:

• HyFoSy provides a more accurate diagnosis of tubal patency than HyCoSy.
• Foam-based sono-HSG is recommended for improved evaluation of tubal patency in infertile women.
• This study supports HyFoSy as a superior method for tubal patency testing.