Is hysterosalpingo-foam sonography (HyFoSy) more tolerable in terms of pain and anxiety than hysterosalpingography (HSG)? A prospective real-world setting multicentre study

Background: In 60% of sterile couples a female factor is present, with these being tubal factors in 30–50% of cases. A tubal patency test is also required in women without a male partner undergoing fertility treatment. Thus, an accurate, safe and tolerable technique should be available. The aim of t...

Descripción completa

Detalles Bibliográficos
Autores: Serrano González, Lucía, Pérez Medina, Tirso, Bueno Olalla, Beatriz, Royuela, Ana, Cuesta Benjumea, María de los Reyes de la, Saéz de la Mata, David, Domínguez Franjo, Esther, Calles Sastre, Laura Beatriz, Engels Calvo, Virginia
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/717692
Acceso en línea:http://hdl.handle.net/10486/717692
https://dx.doi.org/10.1186/s12905-022-01606-3
Access Level:acceso abierto
Palabra clave:anxiety
hysterosalpingo-foam sonography (HyFoSy)
hysterosalpingography (HSG)
pain
tolerability
Medicina
Descripción
Sumario:Background: In 60% of sterile couples a female factor is present, with these being tubal factors in 30–50% of cases. A tubal patency test is also required in women without a male partner undergoing fertility treatment. Thus, an accurate, safe and tolerable technique should be available. The aim of this study is to determine and to compare hysterosalpingo-foam sonography (HyFoSy) and hysterosalpingography (HSG) tolerability in terms of pain and anxiety. Methods: This is a prospective real-world setting multicentre study conducted in two tertiary hospitals in Madrid. 210 infertile women/women without a male partner looking to get pregnant were recruited; 111 for the HyFoSy group and 99 for the HSG group. Tolerability was measured in terms of anxiety by the State Trait Anxiety Inventory (STAI) and pain by the Visual Analogue Scale (VAS). Results: Median VAS score in HyFoSy group was 2 (P25; P75: 1; 3) versus 5 (4; 8) in HSG group, p < 0.001. The median State-STAI score in the HSG group was 18 points (10; 26) versus 10 (7; 16) in the HyFoSy group (p < 0.001); the median Trait-STAI score in the HSG group was 15 (11; 21) versus 13 (9; 17) in the HyFoSy group (p = 0.044). Conclusions: HyFoSy shows higher tolerability to both: pain and anxiety. It is related to less pain and less post-test anxiety than HSG