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CTRI Number  CTRI/2025/08/093938 [Registered on: 29/08/2025] Trial Registered Prospectively
Last Modified On: 28/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of pain perception and patient satisfaction during tubal patency assesment with HyCoSy and HSG in women with infertility. 
Scientific Title of Study   To compare the patient-reported outcomes during infertility workup after introducing an evidence-based three-dimensional/four-dimensional Hysterosalpingo-Contrast Sonography over conventional Hysterosalpingography technique: A Randomized Controlled Trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Soniya Dhiman 
Designation  Associate Professor 
Affiliation  AIIMS New Delhi  
Address  Room No 710 Mother and Child Block, AIIMS New Delhi

New Delhi
DELHI
110029
India 
Phone  8126399907  
Fax    
Email  soniyakvs@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Soniya Dhiman 
Designation  Associate Professor 
Affiliation  AIIMS New Delhi  
Address  Room No 710 Mother and Child Block, AIIMS New Delhi

New Delhi
DELHI
110029
India 
Phone  8126399907  
Fax    
Email  soniyakvs@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Tanya Chaudhary 
Designation  Junior Resident 
Affiliation  AIIMS New Delhi  
Address  Room No 121 hostel 14 AIIMS Campus New Delhi

New Delhi
DELHI
110029
India 
Phone  6306584027  
Fax    
Email  tanya.chaudhary3587@gmail.com  
 
Source of Monetary or Material Support  
Aiims New Delhi 
 
Primary Sponsor  
Name  Institute based PG Thesis Project 
Address  AIIMS, New Delhi  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tanya Chaudhary  AIIMS, New Delhi   Ansarinagar New Delhi mother and child block near gate no 6b
New Delhi
DELHI 
6306584027

tanya.chaudhary3587@gmail.com 
Dr TanyaChaudhary  All India Institute of Medical Sciences  Mother and Child block department of obstetrics and gynaecology, Ansari Nagar near gate 6b
New Delhi
DELHI 
6306584027

tanya.chaudhary3587@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTE ETHICS COMMITTEE FOR POST GRADUATE RESEARCH   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N971||Female infertility of tubal origin,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hysterosalpingo-contrast sonography (HyCoSy) will be done for tubal patency testing in women with infertility   Between day 6-10 of menstrual cycle HyCoSy will be done for tubal patency testing using transvaginal ultrasonography  
Comparator Agent  Hysterosalpingography (HSG) will be done for tubal patency in women with infertility   HSG will be done between day 6-10 of menstrual cycle for tubal patency testing in women with infertility  
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  38.00 Year(s)
Gender  Female 
Details  1. Women presented with primary or secondary infertility
2. Age between 21 to 38 years
3. Ready to provide informed written consent 
 
ExclusionCriteria 
Details  1. Women with active genital infection including cervicitis, vaginitis and PID
2. With history of contrast allergy
3. With history of iodine allergy
4. Abnormal vaginal bleeding  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Pain perception score in both groups using Visual Analogue Score of 0 to 10
2. Patient satisfaction in both group on a likert scale of 5 levels of satisfaction  
Day 3, Day 7 and 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
1. Number of visits required till the procedure for tubal patency in both groups
2. Duration of the procedure starting from insertion of speculum till completion of procedure in both groups
3. Number of patients with technically successful procedure in both group
4. Number of patients needed second procedure (diagnostic hysterolaparoscopy ) due to in conclusive result
5. Comparison of abnormal findings of HyCoSy and HSG with observations of laparoscopy and hysteroscopy
6. Comparison of side effects of HyCoSy procedure with HSG including vasovagal reaction and vaginal spotting
7. Number of patients conceived within 3 months after HyCoSy and HSG  
Day 3, Day 7 and 3 months 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study aims to compare how patients experience two common procedures used during infertility evaluations—3D/4D Hysterosalpingo-Contrast Sonography (HyCoSy) and conventional Hysterosalpingography (HSG). These tests are used to check if the fallopian tubes are open, which is important for natural conception.

The primary objectives are:

  1. To compare pain levels experienced by patients during each procedure.

  2. To compare overall patient satisfaction with each method.

The study will take place in the outpatient department of Obstetrics and Gynaecology at AIIMS, New Delhi, after receiving approval from the Institute Ethics Committee. Eligible patients will be informed about the study and those who agree to participate will be randomly assigned to one of two groups:

  • Group A: Undergoes 3D/4D HyCoSy (a newer ultrasound-based method)

  • Group B: Undergoes traditional HSG (an X-ray-based method)

Procedure Details:

  • In Group A (HyCoSy), patients undergo a 3D/4D ultrasound using a special contrast agent to view the uterus and fallopian tubes in real time.

  • In Group B (HSG), an X-ray dye is used to visualize the same structures through radiographic images.

Pain during the procedure will be measured using a Visual Analogue Scale (VAS) from 0 to 10. Patient satisfaction will be recorded using a 5-point Likert scale.

Other information collected includes:

  • Demographics, medical and reproductive history, partner details, physical exams, and routine infertility workup.

  • Some patients may require further diagnostic tests like laparoscopy if results are abnormal or unclear.

  • Patients with normal test results will receive standard treatment and their pregnancy outcomes will be followed up for 3 months.

By comparing patient experiences and outcomes, this study will help determine whether the newer 3D/4D HyCoSy method offers a more comfortable and satisfying alternative to the traditional HSG test during infertility evaluation

 
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