Hysterosalpingo-foam sonography, a less painful procedure for tubal patency testing during fertility workup compared with (serial) hysterosalpingography: a randomized controlled trial.

Objective: To determine whether hysterosalpingo-foam sonography (HyFoSy) is a less painful first line tubal patency test than serial hysterosalpingography (HSG).

Design: A two-center, prospective, open-label, randomized, controlled trial.

Setting: University hospital and teaching hospital.

[Intra-uterine death caused by fetal akinesia].

Background: When two successive pregnancies end in intra-uterine fetal death (IUFD), the question of whether it is coincidental or if there is an underlying abnormality arises. Although diagnostic investigations into the underlying cause are not always carried out after IUFD, they are recommended by the professional body.

Case Description: A 28-year-old female attended our gynaecology outpatient clinic for a second opinion following two intra-uterine fetal deaths.