A Comparative Study of Transvaginal Sonohysterosalpingography (Tv-Sh) and Hystero-Salpingography (Hsg) for Assessment of Tubal Patency in Infertility Patients

Lakkawar, Nirmala Jaget; Bora, Manash Kumar; Rangaswamy, Thirupurasundari

doi:10.5633/amm.2011.0405

Cited by 2 publications

(4 citation statements)

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“…The most important complaint experienced during HSG procedure is the pain. In the studies, the significant pain and discomfort during HSG procedure develops in 60% of the cases and persist even after 24 hours that may require analgesia [2]. In another study, the rate of significant pain was reported as 72% [13].…”

Section: Introductionmentioning

confidence: 97%

“…Infertility is defined as the inability to conceive for a year of regular unprotected sexual intercourse and affects approximately 15% of couples [1]. In the etiology of infertility, female factor rate 40-55%, male factor rate 25-40%, and unexplained infertility rate 10% [2]. The causes of female infertility are ovulatory dysfunction, tubal-peritoneal factors, cervicouterine pathologies and some unexplained factors.…”

Section: Introductionmentioning

confidence: 99%

“…In the etiology of infertility, female factor rate 40-55%, male factor rate 25-40%, and unexplained infertility rate 10% [2]. The causes of female infertility are ovulatory dysfunction, tubal-peritoneal factors, cervicouterine pathologies and some unexplained factors.…”

Section: Introductionmentioning

confidence: 99%

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The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

Küllahçıoğlu¹,

Özler²,

Şakar³

et al. 2016

Pau Med J

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Purpose: Assessment of tubal patency plays an important role in the diagnosis of female infertility. Hysterosalpingography (HSG) and conventional laparoscopy with chromopertubation is traditionally used in the assessment of tubal patency. We aimed to determine the necessity of HSG in evaluation of infertile women according to risk factors for tubal pathology. Materials and methods:This prospective case-control study includes 174 infertile patients who were admitted infertility clinic. Age, duration of marriage, sexual relationship status, reproductive history were recorded. Patients were evaluated in terms of risk factors of tubal factors related to infertility and existing risk factors were recorded. The patients were divided into 2 groups; Group 1 composed of patients with risk factors and Group 2 composed of patients without risk factors. Results: History of abdominal surgery was the most common risk factors (82.97%) in patients. Thirty five of 47 (74.46%) patients in Group 1 had patency in any tuba and while 118 of 127 (92.91%) patients in Group 2 had patency in any tuba (p=0.001). Bilateral tubal occlusions were identified in 12 of 47 (25.53%) patients in Group 1, and in 9 of 127 (7.08%) patients in Group 2. The difference between two groups was statistically significant (p=0.001). Conclusion: Hysterosalpingography could be neglected in case of the evaluation of infertile women without risk factors for tubal pathology. Thus, the patients without risk of tubal factor will be protected from hysterosalpingography procedure which does not provide meaningful contribution has a radiation hazard and is painful prosedure. Larger scaled studies on this subject are warranted to reach more precise conclusion.Pam Med J 2016;9(1):5-10

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Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

Küllahçıoğlu¹,

Özler²,

Şakar³

et al. 2016

Pau Med J

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“…Tubal factor infertility is one of the most common cause of the infertility, causing 30-40% of female infertility (1,2). Laparoscopy (LS) with tubal dye instillation is considered as the gold standard method for diagnosing tubal pathology (3).…”

Section: Introductionmentioning

confidence: 99%

Hysterosalpingography for Diagnosing Tubal Patency in Infertile Women

Kahramanoğlu

GÜNGÖR

Verit

2022

Bolu Abant Izzet Baysal Universitesi Tip Fakultesi Abant Tip Dergisi

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Objective: Tubal obstruction is one of the most common causes of female infertility. While laparoscopy (LS) is the gold standart method for assessing the patency of the tubes, hysterosalpingography (HSG) is widely used as a first-line approach in infertility work-up. The aim of this study was to compare HSG and LS in assessment of tubal patency. Materials and Methods:Patients who underwent HSG, followed by LS for primary and secondary infertility between January 2015 and June 2017 were retrospectively analyzed. The laparoscopic findings were accepted as reference standard to calculate the diagnostic accuracy of HSG for tubal patency.Results: A total of 67 patients were included into the analysis. The sensitivity, specificity, positive and negative predictive values of HSG for bilateral tubal patency were 82%, 75%, 91% and 57%, respectively. The sensitivity, specificity, positive and negative predictive values of HSG for bilateral tubal obstruction were 62%, 93%, 55% and 94%, respectively. Conclusion:Our findings showed that HSG has high validity, on predicting tubal patency in particular. Laparoscopy should be used in patients with HSG showing nonpatency.

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A Comparative Study of Transvaginal Sonohysterosalpingography (Tv-Sh) and Hystero-Salpingography (Hsg) for Assessment of Tubal Patency in Infertility Patients

Cited by 2 publications

References 10 publications

The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

Hysterosalpingography for Diagnosing Tubal Patency in Infertile Women

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