Side effects and complications of sonohysterosalpingography.
OBJECTIVE
To evaluate the side effects and complications of, difficulties with, and possible solutions to the problems associated with sonohysterosalpingography.


METHODS
Prospective study.


METHODS
University hospital.


METHODS
One thousand, one hundred fifty-three patients who underwent sonohysterosalpingography to investigate abnormal uterine bleeding, infertility, thick endometrium at transvaginal ultrasonography, müllerian abnormalities, or the Asherman syndrome.


METHODS
Side effects and complications of and difficulties related to the procedure. Tolerance was assessed by using a pain-rating scale.


RESULTS
Ninety-three percent (1,074 of 1,153) procedures were performed correctly. Investigation was not completed in 79 (7%) women; a second attempt was successful in 60 of these patients. Side effects, such as moderate or severe pelvic pain, vasovagal symptoms, nausea, and vomiting, occurred in 102 (8.8%) women. Such complications as fever and peritonitis occurred in 0.95% of patients.


CONCLUSIONS
Sonohysterosalpingography is a simple, safe, and well-tolerated technique that has a low rate of side effects and rare complications.
Dessole
Salvatore
S
Department of Pharmacology, Gynecology and Obstetrics, University of Sassari, Sassari, Italy. dessole@uniss.it
Farina
Mario
M
Rubattu
Giovanni
G
Cosmi
Erich
E
Ambrosini
Guido
G
Battista Nardelli
Giovanni
G
D000328:Adult; D005187:Fallopian Tubes / Q000000981:diagnostic imaging*; D005260:Female; D005334:Fever / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007047:Hysterosalpingography / Q000009:adverse effects*; D008875:Middle Aged; D017699:Pelvic Pain / Q000209:etiology; D010538:Peritonitis / Q000209:etiology; D013546:Sweating; D014463:Ultrasonography / Q000009:adverse effects*; D014599:Uterus / Q000000981:diagnostic imaging*