| The value of saline salpingosonography as a surrogate test of tubal patency in low-resource settings. | |
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MedLine Citation:
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PMID: 16279507 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Tubal factor, which accounts for 15-30% of infertility in all women, is common in developing countries with high rates of pelvic inflammatory disease but limited resources. It is possible to outline the fallopian tubes by injecting isotonic saline transcervically during transvaginal ultrasound scanning of the pelvis, and both color flow Doppler and 3-dimensional scanning modes have been employed to improve visualization of the tubes, with varying success. METHOD: We investigated the value of saline salpingosonography (SSG), using 2-dimensional transvaginal ultrasound scanning, as a screening test of tubal patency in 113 women by comparing SSG findings to those at HSG or laparoscopy. RESULTS: The findings at SSG correlated well with the results of HSG or laparoscopy, with an overall concordance of 82.5%. SSG was more accurate at diagnosing patent tubes than blocked tubes and was well tolerated. The results are, however, unreliable when it is difficult to inject the saline and when the patient experiences severe pain during the procedure. CONCLUSION: SSG is a useful screening tool for investigating infertility, particularly in low-resource settings. |
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Authors:
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L Hoffman; K Chan; B Smith; S Okolo |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: International journal of fertility and women's medicine Volume: 50 ISSN: 1534-892X ISO Abbreviation: Int J Fertil Womens Med Publication Date: 2005 May-Jun |
Date Detail:
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Created Date: 2005-11-10 Completed Date: 2006-01-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706778 Medline TA: Int J Fertil Womens Med Country: United States |
Other Details:
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Languages: eng Pagination: 135-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, United Kingdom. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Algorithms Double-Blind Method Fallopian Tube Patency Tests* / methods Fallopian Tubes / ultrasonography* Female Humans Hysterosalpingography* / methods Infertility, Female / ultrasonography* Longitudinal Studies Pilot Projects Predictive Value of Tests Prospective Studies Retrospective Studies Sodium Chloride / diagnostic use Women's Health |
| Chemical | |
Reg. No./Substance:
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7647-14-5/Sodium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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