Dynamic echohysteroscopy versus hysterosalpingography in assessment of tubal patency in cases of female infertility

ABSTRACT

Tubal obstruction is the commonest cause of infertility. The ability to diagnose tubal occlusion or patency using ultrasonic techniques eliminates unnecessary radiation and avoids the use of iodinated contrast media. Dynamic echohysteroscopy is a new technique in which sterile fluid is injected. A comparative study of hysterosalpingography versus dynamic echohysteroscopy in 50 patients with primary and secondary infertility was performed. Twenty-eight cases had primary infertility and 22 cases had secondary infertility. DEH in primary infertility showed bilateral tubal obstruction in three patients, unilateral tubal obstruction in six patients and 19 patients had patent tubes. In cases of secondary infertility bilateral tubal obstruction was found in one case and unilateral tubal obstruction in three patients and 18 cases had patent tubes. Correlation between HSG, DEH and laparoscopy were discussed