Tubal flushing for subfertility.

@article{Wang2020TubalFF,
  title={Tubal flushing for subfertility.},
  author={Rui Wang and Andrew J S Watson and Neil Philip Johnson and Karen Cheung and Cheryl T. Fitzgerald and Ben Willem J. Mol and Lamiya Mohiyiddeen},
  journal={The Cochrane database of systematic reviews},
  year={2020},
  volume={10},
  pages={
          CD003718
        }
}
BACKGROUND Establishing the subgroup analysis of the fallopian tubes (tubes) is a commonly undertaken diagnostic investigation for women with subfertility. This is usually achieved by flushing contrast medium through the tubes and visualising patency on radiographs, ultrasonography or laparoscopy. Many women were noted to conceive in the first three to six months after tubal flushing, raising the possibility that tubal flushing could also be a treatment for infertility. There has been debate… 
1 Citations

Visual tubal patency tests for tubal occlusion and hydrosalpinx

References

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Tubal flushing for subfertility.

The findings suggest that among subfertile women with a 17% chance of an ongoing pregnancy if they have no intervention, the rate will increase to between 29% and 55% if they has tubal flushing with OSCM, and the rate was poorly reported in most studies.

Tubal flushing for subfertility.

There is some evidence of effectiveness of tubal flushing with oil-soluble contrast media in increasing the odds of pregnancy versus no intervention, but robust randomised trials are required to provide convincing evidence as to whether the technique should be accepted into widespread clinical practice.

Tubal flushing for subfertility.

There is evidence of effectiveness of tubal flushing with oil-soluble contrast media in increasing the odds of pregnancy and live birth versus no intervention.

Tubal flushing for subfertility.

There is evidence of effectiveness of tubal flushing with oil-soluble contrast media in increasing the odds of pregnancy and live birth versus no intervention.

Influence of HyCoSy on spontaneous pregnancy: a randomized controlled trial.

Tubal investigation with sonography using water-soluble contrast has a function as a diagnostic procedure but not in terms of increasing pregnancy rates in subfertile patients, and the clinical impression of an enhanced pregnancy rate after performing HyCoSy could not be confirmed.

Nonsurgical fallopian tube recanalization for treatment of infertility.

Fluoroscopic transcervical fallopian tube recanalization was performed in 100 consecutive patients with infertility and proximal tubal obstruction documented with hysterosalpingography, and 19 women conceived without receiving any other therapy.

Pregnancy rates after the use of oil-based and water-based contrast media to evaluate tubal patency.

It is suggested that in patients with normal pelvic anatomy as assessed laparoscopically, OBCM may offer a therapeutic benefit not evident with WBCM, which may be confounded by various methodologic flaws in study design and comparisons of heterogeneous populations.

Oil-soluble versus water-soluble media for assessing tubal patency with hysterosalpingography or laparoscopy in subfertile women.

Flushing of the tubes with oil-soluble media increases subsequent pregnancy rates in infertility patients and should be considered before contemplating more invasive therapies, according to the Cochrane Review.
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