Grossesse par insémination intra-utérine après hystérosalpingo-foam-sonographie ou hystérosalpingographie.

Hardel, Anne-Sophie; Marie, Hélène Flye Sainte; Lorrain, Simon; Iacobelli, Silvia; Lazaro, Glorianne; Boukerrou, Malik; Tran, Phuong Lien

doi:10.1016/j.gofs.2024.03.010

Grossesse par insémination intra-utérine après hystérosalpingo-foam-sonographie ou hystérosalpingographie.

Auteurs : Hardel AS¹, Marie HFS¹, Lorrain S², Iacobelli S³, Lazaro G⁴, Boukerrou M⁵, Tran PL⁶

Affiliations : ¹Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire Sud-Réunion, BP 350, 97448 Saint-Pierre Cedex, La Réunion, France.²Centre d'Études Périnatales de l'Océan Indien (UR 7388), Université de la Réunion, Saint-Pierre, France.³Centre d'Études Périnatales de l'Océan Indien (UR 7388), Université de la Réunion, Saint-Pierre, France; Réanimation Néonatale et Pédiatrique, Néonatologie, Centre Hospitalier Universitaire Sud Réunion, Saint-Pierre Cedex, La Réunion, France.

Date 2024 Mars 26Revue : Gynécologie Obstétrique Fertilité & SénologieType de publication : résumé en anglais; article de périodique; DOI : 10.1016/j.gofs.2024.03.010

Résumé

To compare clinical pregnancy rates following intrauterine insemination performed after hysterosalpingography (HSG) or hysterosalpingo-foam-sonography (HyFoSy).This is a retrospective study including 242 intrauterine insemination (IUI) performed between 2015 and 2020 at the fertility center of the Reunion Island. Among these inseminations, 121 with previous HSG and 121 with previous HyFoSy were matched. The main outcome of interest was clinical pregnancy rate. Secondary outcomes were birth rate and time to pregnancy after tubal patency test.The pregnancy rate after insemination was 9.9% for the HSG group and 11.6% for the HyFoSy group, with no statistically significant difference between the groups (p = 0.66). The live birth rate was similar in the two groups (7.4% for HSG and 10.7% for HyFoSy; p = 0.37). Over half (57.1%) of the pregnancies occurred within 6 months after HyFoSy, whereas only 8.3% after HSG.IUI results are not influenced by HyFoSy compared to HSG with regard to the pregnancy rates. Use of HyFoSy in infertility assessment allows global evaluation and more rapid adapted management. This approach could optimize management of patients undergoing IUI.

Mot-clés auteurs

clinical pregnancy rate; hysterosalpingo-foam-sonography (hyfosy); insémination intra-utérine; intrauterine insemination; live birth rate; taux de grossesse clinique; taux de naissance vivante;

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Source : MEDLINE©/Pubmed© U.S National Library of Medicine

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Hardel A, Marie H, Lorrain S, Iacobelli S, Lazaro G, Boukerrou M, Tran P. Grossesse par insémination intra-utérine après hystérosalpingo-foam-sonographie ou hystérosalpingographie. Gynécologie Obstétrique Fertilité & Sénologie. 2024 Mar 26.