Kimmy Rosielle

34 Chapter 2 although the effect still seemed to be present for at least 1 year after tubal flushing. After approximately 2 years there was no beneficial effect. Additionally, in women who experienced pain during HSG, the effect might last longer. The current results favour the hypothesis that oil-based contrast might dislodge debris or mucus plugs from the Fallopian tubes, and contradicts other locations of action, i.e. the endometrium or the peritoneum, although this has yet to be proven definitively. The findings can be used to further investigate unexplained infertility and to counsel couples with unexplained infertility that they might still conceive naturally after HSG and that treatment could be delayed for a period of time.

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