title: Experience improves performance of hysterosalpingo-contrast sonography (HyCoSy): a comprehensive and well-tolerated screening modality for the subfertile patient.
abstract: OBJECTIVE
  To investigate the clinical observations, provider experience, safety, and tolerance of the hysterosalpingo-contrast sonography (HyCoSy) procedure.
  
  
  METHODS
  A retrospective study design in which data was collected from ninety-six subfertile women who underwent the HyCoSy procedure at the University of Louisville over a 16-month interval.
  
  
  RESULTS
  Ninety-six HyCoSy procedures were performed by a single investigator and contained complete records for review. The authors observed significant decreases in the quantities of saline and air utilized per procedure over time (p < 0.0001 and p = 0.0001). Results from the HyCoSy studies were more often non-diagnostic or non-patent in women with a body mass index (BMI) > 30. Reported pain scores did not statistically differ over the course of the study interval. There were no procedure-related complications noted.
  
  
  CONCLUSIONS
  The HyCoSy procedure is a timely and minimally invasive study that can be implemented in an office setting with minimal prior operator experience that improves over time.
authors: Department of Obstetrics, Gynecology, and Women's Health, University of Louisville, Louisville, KY, USA. rhiana.saunders@amedd.army.mil
authors: R D
authors: RD
authors: Saunders
authors: S T
authors: ST
authors: Nakajima
authors: J
authors: J
authors: Myers
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002983:Clinical Competence; D005260:Female; D005831:Genital Diseases, Female / Q000000981:diagnostic imaging; D006801:Humans; D007047:Hysterosalpingography / Q000009:adverse effects / Q000379:methods* / Q000592:standards*; D007247:Infertility, Female / Q000000981:diagnostic imaging*; D010146:Pain; D014463:Ultrasonography / Q000009:adverse effects / Q000379:methods*