A simple diagnostic procedure and treatment can shed light on infertility and design hope
FAIRFAX, Va., June 14, 2022 /PRNewswire/ — A simple diagnostic procedure, followed by interventional radiology treatment known as fallopian tube recanalization, could help a high percentage of women struggling with infertility due to blocked tubes fallopian tubes to conceive with less involvement or, in some cases, without other invasive fertility procedures, according to new research presented at the annual scientific meeting of the Society of Interventional Radiology. Researchers said most women with blocked fallopian tubes could easily correct their condition.
“This procedure and treatment can help women make an informed decision about infertility treatments. And for many, it can actually give them the chance to conceive naturally,” said Lindsay MachanMD, Associate Professor in the Department of Radiology at the University University of British Columbia and lead author of the study. “As women increasingly want more in-depth discussions about available options and input into their medical care, they appreciate detailed information to help them make choices. This is especially true with fertility treatments.”
Researchers at University of British Columbia The hospital studied cases from 2015 to 2021 involving 956 infertile women who had previously been diagnosed as having one or both fallopian tubes blocked based on the standard diagnostic procedure used to assess fallopian tube openness, known as a hysterosalpingogram (HSG). The women then underwent selective salpingography to confirm their HSG diagnosis and, if necessary, fallopian tube recanalization. In many cases, the researchers said, the alleged blockage was just an easily removed piece of mucus.
The diagnostic test known as selective salpingography showed almost one in four (23.8%) had been mistakenly told they had one or both blocked fallopian tubes. Of those with a blockage, more than half (56.7%) were unblocked using a thin wire in the tubal recanalization process, the researchers said. In sum, 80.5% of the women in the study who had previously been told they had tubal obstructions remained the same day with both fallopian tubes open after a simple outpatient procedure. In an additional 15.9%, a more specific diagnosis of significant tubal disease was made, which in many cases potentially changed treatment options.
Selective salpingography uses X-ray guidance to insert a tiny catheter through the cervix and into the opening of the fallopian tubes. A contrast product is then injected to determine if the tubes are open or blocked. The interventional radiologist, in many cases, is then able to perform a recanalization which opens the tube using a fine guidewire. The procedure is performed on an outpatient basis under light sedation and usually takes less than 30 minutes.
Machan said research suggests selective salpingography should be offered more widely in the evaluation and treatment of female infertility. “Fertility treatments can be expensive and out of reach for many women,” he said. “Infertility is also an emotional, often heartbreaking journey, so having this diagnostic procedure and treatment available could be life changing.”
Abstract 135: Radiologic findings in infertile women referred for selective salpingography and fallopian tube recanalization. A. Sharma, A. Hadjivassiliou, L. Machan. Annual scientific meeting, June 11-16, 2022. This summary is available at sirmeeting.org.
About the Interventional Radiology Society
The Society of Interventional Radiology is a not-for-profit professional medical society representing more than 8,000 physicians, trainees, students, scientists, and clinical associates in interventional radiology, who are dedicated to improving patient care through the unlimited potential of therapies. guided by the image. SIR members work in a variety of settings and at different professional levels, from medical students and residents to university professors and physicians in private practice. Visit sirweb.org.The Interventional Radiology Society holds its annual scientific meeting at Boston June 11-16, 2022. Visit sirmeeting.org.
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SOURCE Interventional Radiology Society