Fertility and Sterility
Volume 90, Issue 3 , Pages 835-838, September 2008

Use of gadolinium for hysterosalpingography in iodine allergic women: a case-control study

  • Melanie M. Belt, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, Texas Tech University Health Science Center, Odessa, Texas
  • ,
  • George Rodenko, M.D.

      Affiliations

    • Department of Radiology, Odessa Regional Hospital, Odessa, Texas
  • ,
  • Keisha Taylor, R.T.

      Affiliations

    • Department of Radiology, Odessa Regional Hospital, Odessa, Texas
  • ,
  • Christopher Maguire, D.O.

      Affiliations

    • Department of Obstetrics and Gynecology, Texas Tech University Health Science Center, Odessa, Texas
    • Corresponding Author InformationChristopher Maguire, D.O., Department of Obstetrics and Gynecology, Texas Tech University Health Science Center, Permian Basin, Odessa TX (FAX: 432-335-5240).
  • ,
  • Sandra Bello, M.D.

      Affiliations

    • West Texas Reproductive Center, Odessa, Texas
    • Corresponding Author InformationReprint requests: Sandra Bello, M.D., West Texas Reproductive Center, 703 North Hancock Avenue, Odessa, TX 79761 (FAX: 432-580-7704).

Received 7 May 2006; received in revised form 12 February 2007; accepted 12 February 2007. published online 27 March 2008.

Objective

To examine the performance of gadolinium in iodine-sensitive women undergoing hysterosalpingography.

Design

Case-control study.

Setting

Odessa Regional Hospital, Texas.

Patient(s)

Seven women, three with no allergies to iodinated contrast medium (controls) and four with known allergies.

Intervention(s)

Use of gadolinium in women with known allergies to iodinated contrast medium.

Main Outcome Measure(s)

How does gadolinium compare as a diagnostic tool in hysterosalpingogram versus iodinated contrast medium?

Result(s)

The images of the uterus and unobstructed fallopian tubes produced by gadolinium appear to yield equally diagnostic results compared with images produced by iodinated contrast medium.

Conclusion(s)

It appears that hysterosalpingogram with gadolinium is a viable option for patients that are allergic to iodinated contrast medium.

Key Words: HSG, gadolinium, iodine allergy, infertility

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PII: S0015-0282(07)00411-6

doi:10.1016/j.fertnstert.2007.02.019

Fertility and Sterility
Volume 90, Issue 3 , Pages 835-838, September 2008