[Use of a new ultrasonographic contrast medium (Echovist-200) in the study of the tubal factor of infertility].

OBJECTIVE. Use of a new sonographic contrast medium (Echoivist-200) for the evaluation of tubal patency and morphology.

METHODS

Comparative study.

METHODS

Istituto di Ginecologia ed Ostetricia dell'Università di Genova.

METHODS

Thirty women with primitive or secondary infertility since al least two years.

METHODS

Hysterosonosalpingography has been performed on patients using a new sonographic contrast medium.

METHODS

Tubal patency and morphology have been evaluated.

RESULTS

This procedure allowed to obtain a correct diagnosis in 86% of cases. 83% of patients had light pelvic pain, 20% of them experienced nausea and vomiting in one case a lipothymia occurred.

CONCLUSIONS

Hysterosonosalpingography with a new sonographic contrast medium should become the first choice procedure in the evaluation of tubal patency, addressing to the radiological examination only the uncertain cases or cases in which, the presence of a proximal tubal obstruction could be treated by selective catheterization.