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Re: CAN WE BE HONEST ABOUT HYSTEROSONOGRAPH RESULTS?From: Dr.Naseem Ahmad (dr_naseemahmad@yahoo.com)Mon Mar 26 12:45:54 2001
Dear Dr.Worral: Thank you for your reply. Yes by Hysterogram I am referring to the traditional X-ray test in which the radio opaue dye is instilled into the uterine cavity and the progress is observed by fluoroscopy to establish tubal patency as well as many other features that are likely to be missed or mis-interpreted by Hycosy- such as endometrial polyps, endometritis and synechiae--features which if not diagnosed properly are detrimental to accurate treatment and proper management of the couples infertility,. HyCosy involves a transvaginal ultrasound investigation of the tubes before and after the injection of an echo-enhancing agent(Echovist-200 containing galactose microparticles marketed by Scherring) It is an expensive procedure with unreliable and inconclusive findings but being conceived as a great advancement over traditional Hysterogram has been readily promoted by sonologists and by gullible patients who in Pakistan unfortunately enjoy freedom of choosing their own doctor and line of treatment!! Thanks Naseem Ahmad > >Dear Dr. Ahmad - I want to be sure I understand your position, so please >tell me what you mean by "hysterograms". Are you referring to the >traditional X-ray test in which radioopaque dye is inserted into the uterine >cavity through the cervix, and the progress of the dye is observed by >fluoroscopy and/or X-ray films? > >Also please tell me what you mean by "hyscosy". Are you referring to a >microbubble contrast agent used in sonography (and, I think, not available >in the United States)? > >Joseph A Worrall MD RDMS
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