COMPARATIVE STUDY OF STEROSALPINGOGRAPHY AND DIAGNOSTIC HYSTEROLAPAROSCOPY IN TUBAL FACTOR INFERTILITY

Dr. (Prof.)Alka Agrawal, Dr. Mitisha Dhosariya, Dr Dinesh Kumar Koushik, Dr. Prachi Shukla

Abstract


Background:Infertility is a condition which has both medical as well as social impact on the state of couple.HSG is widely used as first line approach to visualize uterine cavity & tubes after contrast administration.It shows the exact site of tubal blockage.Hysterolaparoscopy plays a major role by visualizing uterus, fallopian tubes, ovaries & peritoneal structures.Aims&Objectives:To study the role,assess reliability and compare the findings of HSG & DHL in infertile women.Methods :60 females of primary infertility aged between 20-40 years were included. HSG & DHL was performed in all patients &findings were analysed.Results:Sensitivity of HSG was 73%,specificity was 88%,with positive predictive value 57%,negative predictive value 94% when tubal pathology was defined as any form of tubal occlusion detected at laparoscopy,either unilateral or bilateral.Conclusion:HSG has a reasonably good sensitivity and specificity in diagnosing tubal pathology while hysterolaparoscopy has diagnostic as well as  therapeutic approach. Hence, HSG  they are complimentary to each other in infertility work up.


Keywords


HSG)hysterosalpingography, (DHL)diagnostic hysterolaparoscopy, infertility

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