ROLE OF HYSTEROSALPINGOGRAPHY IN MANAGEMENT OF FEMALE INFERTILITY AND ITS LAPAROSCOPIC CORRELATION

Dr. (Prof.)Alka Agrawal; Dr. Mitisha Dhosariya; Dr Shweta Kumari; Dr. Prem Siddharth Tripathi

Volume : IX, Issue : XI, November - 2019

ROLE OF HYSTEROSALPINGOGRAPHY IN MANAGEMENT OF FEMALE INFERTILITY AND ITS LAPAROSCOPIC CORRELATION

Dr. Prof. Alka Agrawal, Dr. Mitisha Dhosariya, Dr Shweta Kumari, Dr. Prem Siddharth Tripathi

Abstract :

Background Infertility nowadays has become a medical as well as social problem.Laboratory findings alone is inconclusive in diagnosing infertility.HSG is the radiographic technique for evaluation of uterine cavity & fallopian tubes..Direct visualization of abdominal and pelvic organs in laparoscopy allows a definite diagnosis where clinical examination & less invasive techniques such as ultrasound & HSG fail to identify the abnormality.Aims & Objectives To determine the role of HSG in the evaluation of infertility & to correlate its findings with laparoscopy.Methods 75 infertile females aged between 20–40 years were included. HSG & laparoscopy was performed in all patients & findings were analysed. Results Sensitivity of HSG was 80 %,specificity was 76 % with positive predictive value 63%, negative predictive value 88 % in detecting tubal pathology. Sensitivity of HSG in detecting uterine pathology was 67%, specificity 73%, positive predictive value 39% and negative predictive value 89%. Conclusion HSG has reasonably good sensitivity & specificity in diagnosing tubal & uerine pathology while laparoscopy has diagnostic as well as therapeutic approach.Hence they are complimentary to each other in infertility work up.