Possibilities of Magnetic Resonance Hysterosalpingography for Infertility in Women of Early Reproductive Age

Purpose. The possibility of painless MR-hysterosalpingography (MP-GSH) in assessing the patency of fallopian tubes as alternative to traditional x-ray hysterosalpingography and laparoscopy. Materials and methods. The study included 93 infertile women. Written informed consent had been obtained from all patients to perform both MR-HSG. MRI scan allowed to assess the shape of the uterus, the fallopian tubes and their patency, the degree of penetration of contrast into the abdominal cavity. Results. 63 women showed passable fallopian tubes, not expanded ones. 14 women had not passible fallopian tubes in intramural departments from both sides, not expanded. In 7 cases — one of the fallopian tubes was not passable, not expanded. In 3 cases the uterine tubes are deformed on the background of adhesions, not expanded and fallopian tubes are not patent. In 6 cases women showed expanded and wriggled one or two fallopian tubes and partial diffluence of radiopaque over the abdomen to the places far from the ampoule. Flask-like expanded fallopian tubes remain forming «valve» hydrosalpinx. Conclusion. MR-hysterosalpingography a less painful, radiation-safe technique of MRI, the use of which allows to reliably determine the patency of fallopian tubes.

1. Peresada OA. Reproductive Health of Women: A Guide for Doctors. M.: MIA; 2009. p. 680. In Russian

2. Adamson GD, Baker VL. Subfertility: Causes, Treatment and Outcome. Best Pract Res Clin Obstet Gynaecol. 2003;17(2):169–185.

3. Strandell A, Lindhard A, Waldenström U et al. Hydrosalpinx and IVF Outcome: A Prospective, Randomized Multicentre Trial in Scandinavia on Salpingectomy Prior to IVF. 1999;14(11):2762–2769.

4. Mahotina NE, Kurganov SA, Mahotin AA et al. Optimization of the Technique of Contrast Hysterosalpingosonography. Modern Medical and Diagnostic Methods in Medical Practice: Materials of the 7th Scientific. — prakt. conf. doctors. — Novosibirsk, 2008;129–130. In Russian

5. Thakral A, Malhotra R, Sobti N et al. MRI Diagnosis of Tubal Torsion: The Whirlpool Sign. Int J Reprod Contracept Obstet Gynecol. 2016;5(1):237–239.

6. Kulakov VI. Infertile Marriage: Modern Approaches to Diagnosis and Treatment. M.:GEOTARMedia, 2010. p. 784. In Russian

7. Makhotina NE, Shevela AI, Kurgan SA et al. Diagnosis of Myometrial Pathology Using Contrast Agents. Modern Therapeutic and Diagnostic Methods in Medical Practice: Materials of the 7th Scientific and Practical Conference of Doctors, Novosibirsk, 2008;133–134. In Russian