Modern assessment of the uterine cavity and fallopian tubes in the era of high-efficacy assisted reproductive technology

Fertil Steril. 2022 Jul;118(1):19-28. doi: 10.1016/j.fertnstert.2022.05.020.

Abstract

The high efficacy of modern assisted reproductive technology (ART) and increase in the number of noninfertile patients who are using ART for family building in the United States call into question the relevance of the standard, one-size-fits-all infertility evaluation. Here, we explore whether all patients presenting for ART need uterine cavity and tubal assessment and what tests are most appropriate, efficient, and cost-effective in current times.

Keywords: Saline infusion sonohysterography (SIS); hydrosalpinx; hysterosalpingo-contrast sonography (HyCoSy); hysterosalpingography (HSG); hysteroscopy.

Publication types

  • Review

MeSH terms

  • Contrast Media
  • Fallopian Tube Patency Tests
  • Fallopian Tubes / diagnostic imaging
  • Female
  • Humans
  • Hysterosalpingography
  • Infertility, Female* / diagnosis
  • Infertility, Female* / therapy
  • Laparoscopy*
  • Reproductive Techniques, Assisted
  • Sensitivity and Specificity
  • Ultrasonography

Substances

  • Contrast Media