Sonohysterosalpingography versus laparoscopy in infertility

ABSTRACT

To evaluate the safety and efficacy of Sonohysterosalpingography as a tubal patency test. One hundred infertile women underwent Sonohysterosalpingography followed by laparoscopy and dye pertubation, findings were compared. Patency was proved in higher proportion of patients with laparoscopy and dye pertubation than with Sonohysterosalpingography [84 percent versus 80 percent], but not statistically significant, women with normal Sonohysterosalpingography had a normal pelvic anatomy apart from mild endometriosis or mild pelvic adhesions not comprising tubal patency, these cases may not need laparoscopy, pelvic pathology detected included uterine myoma in 8 cases, polycystic ovaries in 8 cases, mild pelvic adhesions in 12 cases and mild endometriosis in 8 cases. Sonohysterosalpingography is a good screening test for tubal patency without exposure to radiation in x -ray H.S.G.; and it is less invasive and cost effective than laparoscopy dye pertubation