ABSTRACT
This study included 265 infertile patients planned for laparoscopy, of whom 136 had primary and 129 had secondary infertility. Abnormal hysteroscopic and HSG findings were seen more in secondary than primary infertility. Abnormal findings were more frequent in hysteroscopy than in HSG cases. Forty-four cases with abnormal pathological intrauterine findings were not having previous HSG abnormalities. Out of these 44 patients, 39 had no history suggesting uterine lesion. The positive predictive values of HSG in endometrial polyp, submucous fibroid and intrauterine synechiae were 75, 77.8 and 85.7%, respectively. However, endometrial atrophy, endometrial hyperplasia, cervical polyp and cornual adhesions were detected only by hysteroscopy and not by HSG. Intrauterine synechiae were detected in 21 cases by HSG and 25 cases by hysteroscopy. HSG sensitivity = 72%, specificity = 98.8% and positive predictive value = 85.7%. Unilateral cornual block was detected in 5.66% by HSG, 4.53% by hysteroscopy and 4.15% by laparoscopy. Bilateral cornual block was detected in 11.32%, 9.81% and 8.68% by HSG, hysteroscopy and laparoscopy, respectively