“Sea anemone” symptom in diagnosis of fallopian tubes function
Keywords:fallopian tubes, fimbriae, SAS-test, TVS MHAW, infertility
The article presents the method of ultrasonographic diagnosis of fallopian tubes function by the “Sea Anemone Symptom”.
Objective: to study the function of patent uterine tubes in women among the couples with unexplained subfertility.
Design: prospective cross-sectional study.
Patients, Methods, Settings: 43 subfertile women were included into the study group. Non-contrast transvaginal sonography was carried out in all patients by the technique of mobile hydro-acoustic window (TVS+MHAW). The new “Sea Anemone Symptom” test (SAS-test) was performed for the ultrasonographic assessment of the function of fallopian tubes. In all women uterine tubes patency was confirmed by laparoscopic chromoperfusion, retro- and prospectively. The study was conducted in the Odesa center for reproductive medicine “Remedi” in the period from July 16 to December 16, 2016.
Results and discussion: 4 main sonographic phenotypes of fallopian tube funnels and associated various difficult-to-visualized pathological pelvic subjects were identified. SAS-test positive sonographic assessment confirming the functionality of one or both uterine tubes’ funnel was obtained in 30 (69.75%) of 43 women. In 10 (23.25%) negative results of SAStest served as a ground for suspicion of altered fimbriae of fallopian tubes. In 3 (7.0%) cases test results appeared doubtful. Diagnostic accuracy of SAS-test was evaluated based on the laparoscopic findings. Pathology of fallopian tubes was confirmed laparoscopically in 8 women with positive, 9 with negative and 2 women with questionable results of SAS-test.
Conclusion: the SAS-test can be used in the management of couples with unexplained infertility, when deciding on the advisability of laparoscopy. The TVS+MHAW method with its advantages in accuracy, non-invasiveness and safety profile, can serve as the first-line diagnostics of hard-to-see pelvic subjects associated with fimbriae of fallopian tube in subfertile female.
- Doshchechkyn, V.V. “Identification of intact fallopian tubes using the new non-contrast ultrasound technique ‘The Mobile Hydroacoustic Window’.” J Biomedical Biosocial Anthropology 27 (2016): 161–6.
- Papaioannou, S., Afnan, M., Jafettas, J. “Tubal assessment tests: still have not found what we are looking for.” Reprod Biomed Online 15.4 (2007): 376–82.
- Franz, M., Ott, J., Watrelot, A., et al. “Prospective evaluation of the learning curve of fertiloscopy with and without ovarian drilling.” Reprod Biomed Online 30.4 (2015): 408–14.
- Chizen, D.R., Pierson, R.A. “Transvaginal ultrasonography and female infertility.” Glob libr women’s med (2010). DOI: 10.3843/GLOWM.10326
- Doshchechkyn, V.V. “Transvaginal MHAW-sonography: new possibilities in evaluating of the fallopian tubes function.” J Biomedical Biosocial Anthropology 28 (2017): 175-80.
- Imaging in reproductive sciences: Medicine, Physiology, Biology (2016). Web-source. Ed. by V.V. Doshchechkyn. Available from: [https://journalrp.jimdo.com/], last accessed Sep 26, 2017.
- Watrelot, A. “Place of transvaginal fertiloscopy in the management of tubal factor disease.” Reprod Biomed Online 15.4 (2007): 389–95.
How to Cite
Copyright (c) 2017 В. В. Дощечкин
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.