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Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography

OBJECTIVE: Our objective was to explore whether the pregnancy rate (PR) was higher than usual after hysterosalpingo-contrast sonography (HyCoSy). METHODS: We conducted a prospective observational study of 1,008 infertility patients, all of whom were examined by HyCoSy. The expected time for spontane...

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Autores principales: Chunyan, Gao, Bin, Peng, Ping, Yan, Yue, Zhang, Yang, Xiaoqing, Hongju, Tian, Li, Sufen, Xi, Xiong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171212/
https://www.ncbi.nlm.nih.gov/pubmed/30327778
http://dx.doi.org/10.1155/2018/4901281
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author Chunyan, Gao
Bin, Peng
Ping, Yan
Yue, Zhang
Yang, Xiaoqing
Hongju, Tian
Li, Sufen
Xi, Xiong
author_facet Chunyan, Gao
Bin, Peng
Ping, Yan
Yue, Zhang
Yang, Xiaoqing
Hongju, Tian
Li, Sufen
Xi, Xiong
author_sort Chunyan, Gao
collection PubMed
description OBJECTIVE: Our objective was to explore whether the pregnancy rate (PR) was higher than usual after hysterosalpingo-contrast sonography (HyCoSy). METHODS: We conducted a prospective observational study of 1,008 infertility patients, all of whom were examined by HyCoSy. The expected time for spontaneous pregnancy was at least 180 days after the HyCoSy exams. There were three types of HyCoSy results: type I, defined as both fallopian tubes patent; type II, defined as one fallopian tube patent with obstruction in the other; and type III, defined as both fallopian tubes obstructed. During the HyCoSy examinations, we recorded the mobility of the ovaries, injective resistance, and contrast agent venous intravasation. Before the examinations, we recorded each patient's medical history, including maternal age, infertility type, median duration of menstrual cycle, dysmenorrhea, and parity number. RESULTS: The PR was 19.44% within 180 days after HyCoSy and it was significantly higher in the first 30 days (6.35%) (P <.01). The PR of type I was highest, with a rate of 32.01%, followed by the PR of type II (25.51%) and type III (15.04%) (P <.01). Univariate analysis showed that younger age, patency of both fallopian tubes, good ovarian mobility, and absence of injective resistance were positively related to the initiation of pregnancy (P <.01). Infertility type, median duration of menstrual cycle, dysmenorrhea, parity number, contrast agent venous intravasation, and identity of the sonographer were unrelated to pregnancy (P >.05). However, multivariate analysis showed that patency of both fallopian tubes and the absence of injective resistance were independently associated with pregnancy. CONCLUSION: Some infertility patients conceived successfully and naturally not long after HyCoSy, most often in the first month after the examination. Multivariate analysis showed that patency of both fallopian tubes and the absence of injective resistance were independently factors associated with the ability to conceive after HyCoSy examination.
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spelling pubmed-61712122018-10-16 Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography Chunyan, Gao Bin, Peng Ping, Yan Yue, Zhang Yang, Xiaoqing Hongju, Tian Li, Sufen Xi, Xiong Biomed Res Int Research Article OBJECTIVE: Our objective was to explore whether the pregnancy rate (PR) was higher than usual after hysterosalpingo-contrast sonography (HyCoSy). METHODS: We conducted a prospective observational study of 1,008 infertility patients, all of whom were examined by HyCoSy. The expected time for spontaneous pregnancy was at least 180 days after the HyCoSy exams. There were three types of HyCoSy results: type I, defined as both fallopian tubes patent; type II, defined as one fallopian tube patent with obstruction in the other; and type III, defined as both fallopian tubes obstructed. During the HyCoSy examinations, we recorded the mobility of the ovaries, injective resistance, and contrast agent venous intravasation. Before the examinations, we recorded each patient's medical history, including maternal age, infertility type, median duration of menstrual cycle, dysmenorrhea, and parity number. RESULTS: The PR was 19.44% within 180 days after HyCoSy and it was significantly higher in the first 30 days (6.35%) (P <.01). The PR of type I was highest, with a rate of 32.01%, followed by the PR of type II (25.51%) and type III (15.04%) (P <.01). Univariate analysis showed that younger age, patency of both fallopian tubes, good ovarian mobility, and absence of injective resistance were positively related to the initiation of pregnancy (P <.01). Infertility type, median duration of menstrual cycle, dysmenorrhea, parity number, contrast agent venous intravasation, and identity of the sonographer were unrelated to pregnancy (P >.05). However, multivariate analysis showed that patency of both fallopian tubes and the absence of injective resistance were independently associated with pregnancy. CONCLUSION: Some infertility patients conceived successfully and naturally not long after HyCoSy, most often in the first month after the examination. Multivariate analysis showed that patency of both fallopian tubes and the absence of injective resistance were independently factors associated with the ability to conceive after HyCoSy examination. Hindawi 2018-09-20 /pmc/articles/PMC6171212/ /pubmed/30327778 http://dx.doi.org/10.1155/2018/4901281 Text en Copyright © 2018 Gao Chunyan et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Chunyan, Gao
Bin, Peng
Ping, Yan
Yue, Zhang
Yang, Xiaoqing
Hongju, Tian
Li, Sufen
Xi, Xiong
Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title_full Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title_fullStr Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title_full_unstemmed Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title_short Assessment of the Influence on Spontaneous Pregnancy of Hysterosalpingo-Contrast Sonography
title_sort assessment of the influence on spontaneous pregnancy of hysterosalpingo-contrast sonography
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171212/
https://www.ncbi.nlm.nih.gov/pubmed/30327778
http://dx.doi.org/10.1155/2018/4901281
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