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Master Thesis

L’Hystérosalpingo-Foam-Sonographie comme examen de première intention pour l’évaluation de la perméabilité tubaire avant insémination intra-utérine

Abstract : Objective: the study had two objectives : to compare pregnancy rates in intrauterine insemination after hysterosalpingography or Hysterosalpingo-Foam-Sonography (HyFoSy) and the search for potential predictive factors of non-visualisation of tubal permeability during HyFoSy. Methods: this retrospective study was carried out at the medically assisted procreation center of the University Hospital Center in Reunion Island. Intrauterine inseminations were divided into two groups according to the tubal permeability test with secondary matching. We also compared the HyFoSy with objectified tubal permeability and those with a passage defect. Using comparison tests and a logistic regression, we looked for factors that explain the non-visualisation of the contrast medium. Results: each of the two groups for the main objective included 121 inseminations. The pregnancy rate after insemination was 9.9% for hysterosalpingography and 11.6% for HyFoSy, without significant difference (p=0.66). 57.1% of pregnancies occurred within 6 months after the HyFoSy. Of the 137 HyFoSy included for the secondary objective, the evaluation of tubal permeability was less effective in cases of overweight/obesity (62.5% vs 47.4%), previous pelvic surgery (17.5% vs 10.3%) and deep endometriosis (12.5% vs 5.2%), without significant difference. A trend towards significance was observed for the body mass index ≥ 25 kg/m² (OR 2.01 [0.93-4.35], p = 0.0767). Conclusion: HyFoSy in the infertility check-up allows an adapted global management and could optimise the chances of pregnancy in intra-uterine insemination. Its use in first intention is discussed in the presence of factors predictive of non-visualisation of tubal permeability.
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https://dumas.ccsd.cnrs.fr/dumas-03203155
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Submitted on : Tuesday, April 20, 2021 - 3:52:16 PM
Last modification on : Thursday, May 13, 2021 - 3:18:16 AM

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  • HAL Id : dumas-03203155, version 1

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Anne-Sophie Hardel. L’Hystérosalpingo-Foam-Sonographie comme examen de première intention pour l’évaluation de la perméabilité tubaire avant insémination intra-utérine. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03203155⟩

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