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- Title
Comparative Evaluation of Hystero-Salpingography and Laparoscopy For Determination of Tubal Patency.
- Authors
Swami, M. B.; Roy, P. K.; Mahadik, K.
- Abstract
To find out whether Hysterosalpigography (HSG), can be used as initial method for assessing tubal factor of infertility, instead of more invasive method like diagnostic laparoscopy. Methods: Retrospective analysis of 75 cases, who had attended infertility Clinic at Medical College, Ujjain, and underwent HSG as initial test followed by Laparoscopy from November 2005 to December 2010. Results: Primary infertility was the major cause of tubal factor of infertility (75%) and majority of women were between 20-25 years (60%). In comparison to laparoscopy, HSG has 80.8% sensitivity & 100% specificity for determination of tubal patency. HSG also has a high sensitivity (100%) for determination of unilateral or bilateral blockage with specificity of 100% & 85.3% respectively. HSG can detect only endo-tubal and intrauterine pathology, whereas laparoscopy can detect pelvic pathology. Conclusion: HSG should be used as initial test to assess tubal patency whereas laparoscopy should be limited to selected cases.
- Subjects
FALLOPIAN tube radiography; INFERTILITY; LAPAROSCOPY
- Publication
National Journal of Integrated Research in Medicine, 2014, Vol 5, Issue 4, p40
- ISSN
2230-9969
- Publication type
Article