Laparoscopy, hysteroscopy and fluorscopically monitored hysterosalpingography in evaluation of female infertility

ABSTRACT

The diagnostic accuracy of 1aparoscopy hysteroscopy and fluoroscopically monitored hysterosalpingography [HSG] were evaluated in 80 infertile women who underwent these procedures as part of their infertility work-up. HSG versus laparoscopy in evaluation of the tuboperitoneal factor showed 64.44% sensitivity and 85,71% specificity with diagnostic efficacy of 73.75%. HSG versus hysteroscopy in evaluation of the uterine factor showed 69.56% sensitivity and 87.71% specificity with diagnostic efficacy of 82.5% These data indicates that for optimal evaluation, a combiend approach using the three procedures is recommended. The clinical history. suggestive symptoms together with physical examination should provide a base for more selective use of these diagnostic techniques