COMPARATIVE STUDY OF HYSTEROSALPINGOGRAPHY AND DIAGNOSTIC HYSTEROLAPAROSCOPY IN TUBAL FACTOR INFERTILITY

Dr. (Prof.)Alka Agrawal; Dr. Mitisha Dhosariya; Dr Dinesh Kumar Koushik; Dr. Prachi Shukla

Volume : VIII, Issue : X, October - 2019

COMPARATIVE STUDY OF HYSTEROSALPINGOGRAPHY AND DIAGNOSTIC HYSTEROLAPAROSCOPY IN TUBAL FACTOR INFERTILITY

Dr. Prof. Alka Agrawal, Dr. Mitisha Dhosariya, Dr Dinesh Kumar Koushik, Dr. Prachi Shukla

Abstract :

Background:Infertility is a condition which has both medical as well as social impact on the state of couple.HSG is widely used as first line approach to visualize uterine cavity & tubes after contrast administration.It shows the exact site of tubal blockage.Hysterolaparoscopy plays a major role by visualizing uterus, fallopian tubes, ovaries & peritoneal structures.Aims&Objectives:To study the role,assess reliability and compare the findings of HSG & DHL in infertile women.Methods :60 females of primary infertility aged between 20–40 years were included. HSG & DHL was performed in all patients &findings were analysed.Results:Sensitivity of HSG was 73%,specificity was 88%,with positive predictive value 57%,negative predictive value 94% when tubal pathology was defined as any form of tubal occlusion detected at laparoscopy,either unilateral or bilateral.Conclusion:HSG has a reasonably good sensitivity and specificity in diagnosing tubal pathology while hysterolaparoscopy has diagnostic as well as therapeutic approach. Hence, HSG they are complimentary to each other in infertility work up.