Comparative Evaluation of Hystero-Salpingography and Laparoscopy For Determination of Tubal Patency.
Article
in En
| IMSEAR
| ID: sea-156675
ABSTRACT
Objective:
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.
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Index:
IMSEAR
Language:
En
Year:
2014
Type:
Article