Is routine diagnostic laparoscopy for infertility still justified? A pilot study assessing the use of hysterosalpingo-contrast sonography and magnetic resonance imaging (original) (raw)

A total of 20 infertile women (confirmed ovulation; normal hormonal and ovarian cysts were detected using transvaginal scanprofile and semen analysis) undergoing L&D Ϯ H agreed to have ning; the endometrial polyp and a congenital uterine MRI and HyCoSy as well. Exclusion criteria included galactosaemia anomaly were identified using HyCoSy. These findings and active pelvic inflammatory disease. The use of HyCoSy was were detected using MRI, but in addition the technique approved by the Oxford ethics committee. distinguished the dermoid cysts from the endometriomas, All HyCoSy examinations were performed between days 10-13 of identified the two other cases of moderate-severe endomethe menstrual cycle using the new ultrasound contrast medium triosis, fibroids <2 cm (n ⍧ 2) and adenomyosis (n ⍧ 5), Echovist (Schering AG, Berlin, Germany), a galactose microparticle/ and interpreted the haemorrhagic corpus luteum as an air microbubble suspension. An Acuson 128-XP scanner (Acuson, Mountain View, CA, USA) with a 5 MHz vaginal probe (n ϭ 18) or endometrioma. Our data suggest that women with normal a Toshiba SSA 250A (Toshiba, Tokyo, Japan) with a 6 MHz probe HyCoSy and MRI findings have a normal pelvis and may (n ϭ 2) was used. After initial TVS to determine uterine position not need routine surgical investigation.