About ExEm® Foam
ExEm® Foam is the only FDA-approved contrast agent used in ultrasound procedures to provide in-office tubal patency assessments for women with known or suspected infertility. It’s gentle, straightforward, and offers real time results — without requiring X-ray, the need for excessive iodine administration, or placing a cervical tenaculum and traction on the cervix, which some patients may find painful — making it an attractive option for the evaluation of your patients.
Ultrasound machine requirements
Any 2D ultrasound machine operated by a skilled sonographer can be used for the ExEm® Foam procedure. 3D and 2D/3D-High Definition Flow (HDF) Doppler ultrasound may offer enhanced accuracy and faster recognition of tubal patency in women with known or suspected infertility.
Important Safety Information:
ExEm® Foam should not be used on patients who are pregnant, have known or suspected lower genital tract inflammation or infection, have had a gynecologic procedure within the last 30 days, have vaginal bleeding, or have known or suspected reproductive tract neoplasia. Common side effects include pelvic and abdominal pain, vasovagal reactions (and associated symptoms such as nausea and faintness), and post-procedure spotting.
How ExEm Foam works
10 steps for a more patient-friendly procedure.
Prepare ExEm® Foam according to prescribing information and place side-opening speculum.
Place catheter on syringe and insert a small amount of foam into the catheter to expel air. Place the catheter in the cervix.
Remove speculum and place TVUS transducer under the catheter.
Infuse 1 ml foam; check access to uterine cavity.
Confirm adequate placement of the catheter, then gently infuse 2-3ml to fill the tubes.
Start longitudinally, spot fundus; rotate to transverse plane.
Spot intra mural of right tube; continue to distal.
Look for flow > secondary: look for spillage of foam intra-abdominally.
Repeat at left side (be prepared for a winding tube).
Focus on foam: zoom in, spot flow, use 2D; secondary 3D.
ExEm Foam FAQ
The ExEm Foam Kit is a medical device designed for use in fertility treatments. It includes a specially formulated foam that is applied to the vaginal walls to enhance ultrasound imaging and increase the accuracy of certain diagnostic and treatment procedures.
Yes, the ExEm Foam Kit is a safe and well-tolerated medical device that has been extensively tested for safety and efficacy. It is FDA cleared for use in gynecological procedures.
The ExEm Foam Kit is designed to be used in conjunction with ultrasound imaging during certain diagnostic and treatment procedures. The foam is applied to the vaginal walls using a specially designed applicator, and the patient remains lying down for a short period of time to allow the foam to take effect.
No, the ExEm Foam Kit is designed for use in specific diagnostic and treatment procedures, such as hysterosalpingography and intrauterine insemination. Your healthcare provider will determine if the ExEm Foam Kit is appropriate for your particular case.
The ExEm Foam Kit is generally well-tolerated, and there are no known serious side effects associated with its use. Some women may experience mild discomfort or irritation during or after the procedure, but these symptoms typically resolve quickly. Your healthcare provider will discuss any potential risks and side effects with you before using the ExEm Foam Kit.
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Interested in using the latest tubal patency procedure in your clinic.
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