Evaluation of tubal patency by hysterosalpingograhy in infertile patients

ABSTRACT

To evaluate tubal patency by hysterosalpingography in infertile patients. This prospective study was carried out on 200 female subjects, with primary and secondary infertility aged 20-41 years, attending the Department of Obstetrics and Gynaecology, Jinnah Hospital, Lahore, from 1997 to 1999. After detailed history, thorough clinical examination and investigations, all the patients underwent hysterosalpingography during the proliferative phase of cycle and the findings recorded. The age of 100 patients included in the study varied from 20-40 year in primary infertility and 20-45 in secondary infertility. An evaluation of the status of the tubes assessed by each of the two techniques. HSG showed bilateral peritubal adhesion in one patient and unilateral peritubal adhesions in 2 patients. It is evident that HSG is more informative in uterine malformation while laparoscopy gave extra information like polycystic ovaries, subserous fibroid and endometriosis, which are totally missed by HSG. Hysterosalpingography is a valuable tool in assessing tubal patency. In addition it gives information regarding contour of urine cavity, any uterine malformations, level of obstruction in fallopian tubes and presence of any hydrosalpinx