ACR Appropriateness Criteria® Female Infertility
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Authors
Expert Panel on Women’s Imaging
Wall, Darci J
Reinhold, Caroline
Akin, Esma A
Ascher, Susan M
Brook, Olga R
Dassel, Mark
Henrichsen, Tara L
Learman, Lee A
Maturen, Katherine E
Issue Date
2020-05
Type
Other
Language
en_US
Keywords
Endometriosis , Infertility , Ovarian reserve , Polycystic ovarian syndrome , Recurrent pregnancy loss , Tubal occlusion
Alternative Title
Abstract
The most common known causes of female infertility are male factor (26%), ovulatory failure (21%), and tubal damage (14%), while in 28% a couple's infertility remains unexplained. Female-specific causes of infertility include deterioration of oocyte quality with increasing maternal age; ovulatory disorders, most notably polycystic ovarian syndrome; history of salpingitis such as that caused by chlamydia infection; endometriosis; and uterine cavity abnormalities interfering with implantation causing inability to become pregnant or causing recurrent pregnancy loss. These potential causes of female infertility are discussed in this document and the appropriate imaging recommendations for each variant are provided. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Description
Citation
Expert Panel on Women’s Imaging, Wall DJ, Reinhold C, Akin EA, Ascher SM, Brook OR, Dassel M, Henrichsen TL, Learman LA, Maturen KE, Patlas MN, Robbins JB, Sadowski EA, Saphier C, Uyeda JW, Glanc P. ACR Appropriateness Criteria® Female Infertility. J Am Coll Radiol. 2020 May;17(5S):S113-S124. doi: 10.1016/j.jacr.2020.01.018. PMID: 32370955.
Publisher
Journal of the American College of Radiology