Infertility
Conditions
Keywords
hysterosalpingography, catheter, pain, visual analogue scale
Brief summary
Hysterosalpingography is usually painful and the use of thin catheters of IUI could be an attractive alternative . we conducted a randomised controlled trial to compare the standard metal cannula to the thin catheter originally manufactured for intrauterine insemination. Pain assessment was done using visual analogue scale
Detailed description
HSG is widely practiced in our country, however, for cost effective reasons, the standard metal cannula is the only method used at our hospital. It is painful procedure because it requires grasping the cervix with a tenaculum and inducing some cervical dilatation during introduction of the cannula. The aim of this pilot study was to modify the technique of HSG using a thinner than normal catheter, and without grasping the cervix with a tenaculum. Leakage of the dye through the cervix was prevented by pressing on the portiovaginalis of the cervix using the vaginal speculum.
Interventions
a thin catheter originally designed for IUI was introduced through the cervical canal into the lower part of the uterine cavity. After introducing the catheter, the screw of the vaginal speculum was loosened to allow the two valves of the speculum to press on the portiovaginalis of the cervix to prevent leakage of the dye. Then the dye was injected slowly and the procedure was watched on the screen and x-ray films were taken.
Sponsors
Study design
Eligibility
Inclusion criteria
* infertile women seeking evaluation of fallopian tubes
Exclusion criteria
* any woman with allergy to the iodine dye or condition contraindicating pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the level of pain using a visual analogue scale (VAS) | 8 month | pain score will be assessed during introduction of catheter and during the injection of dye |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| visualising uterus and tubes | 8 month | the efficiency of the new technique in filling the uterine cavity with the dye and studying fallopian tubes. |