ExEm Foam

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What Is ExEm Foam  ?[edit | edit source]

ExEm Foam is an ultrasound contrast agent indicated for sono hysterosalpingography.

What are the uses of this medicine?[edit | edit source]

How does this medicine work?[edit | edit source]

  • ExEm Foam (air polymer-type A) intrauterine foam is formed by mixing the clear Gel [polymer-type A (hydoxyethyl cellulose), glycerin, and purified water] with air and Sterile Purified Water, creating an echogenic contrast agent.
  • When visualized with ultrasound, the foam appears echogenic or bright within the fallopian tubes and peritoneal cavity.

Who Should Not Use this medicine ?[edit | edit source]

This medicine cannot be used in:

  • In Pregnancy
  • Patients with known or suspected lower genital tract inflammation or infection
  • Patients who have had a gynecologic procedure within the last 30 days
  • Patients with vaginal bleeding
  • Patients with known or suspected reproductive tract neoplasia

Is this medicine FDA approved?[edit | edit source]

  • It was approved for use in the United States in November 2019.

How should this medicine be used?[edit | edit source]

  • Recommended dose is 2 mL to 3 mL of ExEm Foam by intrauterine infusion using a 5-Fr or larger catheter.
  • Dose may be repeated in 2 mL to 3 mL increments, as needed, to achieve visualization of the fallopian tubes.
  • Maximum total dose is 10 mL .

What are the dosage forms and brand names of this medicine?[edit | edit source]

ExEm Foam is available as intrauterine Foam, single-dose kit containing:

  • Syringe A: one syringe with 5 mL clear Gel [polymer-type A (hydoxyethyl cellulose), glycerin and purified water]
  • Syringe B: one syringe with 5 mL Sterile Purified Water
  • One Combifix Adaptor (coupling device)


What side effects can this medication cause?[edit | edit source]

Common possible side effects of this medicine include:

  • pelvic and abdominal pain
  • vasovagal reactions and associated symptoms such as nausea and faintness
  • post-procedure spotting

What special precautions should I follow?[edit | edit source]

  • Confirm that the patient has a negative pregnancy test within the 24 hours before ExEm Foam administration.
  • Confirm that the patient is in the pre-ovulatory phase of her menstrual cycle (cycle days 6 through 11).

Can this medicine be used in pregnancy?[edit | edit source]

  • ExEm Foam cannot be used in pregnancy due to the potential risk to the fetus from an intrauterine procedure.

Can this medicine be used in children?[edit | edit source]

  • The safety and effectiveness of ExEm Foam have not been established in pediatric patients.

What should I know about storage and disposal of this medication?[edit | edit source]

  • Store the kit and components at controlled room temperature between 20° to 25°C (68° to 77°F); [see USP Controlled Room Temperature]; excursions permitted at 15° to 30°C (59° to 86°F).
  • Do not store in refrigerator.
  • Do not freeze.

ExEm Foam Resources
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ExEm Foam Resources
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