Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup

Nanda, Smiti; Malhotra, Vani; Malik, Roopa; Lakra, Pinkey; Chauhan, Meenakshi

doi:10.5005/jp-journals-10006-1241

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…In this study, the means of age and infertility duration of the attending patients were 30.9±5.4 and 4.1± 2.5 years, respectively. This is in line with the results obtained by Chauhan et al (5).…”

Section: Resultssupporting

confidence: 94%

“…Furthermore, the sensitivity, specificity, PPV, and NPV of the hysteroscopy were 50%, 98%, 76.9%, and 88.5%, respectively. The pathologies diagnosed in the hysteroscopy were submucous myoma (4 cases), endometrial polyp (3 cases), and uterine adhesion (3 cases) (5).…”

Section: Resultsmentioning

confidence: 99%

“…Intrauterine pathological disorders which may have any unpleasant influence on the fertility are evaluated through hysteroscopy which is considered the main standard method for both diagnosis and treatment. Additionally, it is a low-aggressive method for diagnosis and treatment of intrauterine pathologies (1,5).…”

Section: Mortalities and Morbiditiesmentioning

confidence: 99%

“…Uterine disorders are among approximately uncommon causes of infertility thus, their possibility should always be considered as these disorders can unpleasantly influence the consequence of fertility even if no infertility is occurred (5). Uterine pathological disorders which may affect the fertility involve congenital disorders, submucous myomas, intrauterine adhesions, and endometrial polyps (1,2).…”

Section: Introductionmentioning

confidence: 99%

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Investigating Hysteroscopy Implementation in Infertile Women Candidate With a Normal Uterine Cavity for Laparoscopy in Hysterosalpingography

Amirian

Mohammadabad

Morovatdar

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Endometrial pathologies inside the cavity can occur simultaneously with gestational unpleasant consequences but are not always capable of being diagnosed by the hysterosalpingography (HSG). This study aimed to examine the value of performing diagnostic hysteroscopy beside diagnostic laparoscopy among infertile women with normal uterine cavities in HSG. Materials and Methods: A total of 103 infertile women with normal uterine cavities in the HSG and within the age range of 18-40 who referred to Imam Reza hospital for laparoscopy during 2016-2017 were included in this cross-sectional study. Hysteroscopy was performed simultaneously with diagnostic laparoscopy. Then, the existence of uterine pathologies like endometrial polyps, submucous myoma, and uterine endometrial adhesions and their relationship with the patient’s age, infertility type and duration, and cycle time were evaluated. A P value less than 0.05 was considered statistically significant. Results: Overall, 64 patients (63.1 %) had a normal uterine cavity in the hysteroscopy while 39 of them had an abnormal uterine cavity, the HSG false negative cases of whom were reported 37.9%. The pathologies found in the hysteroscopy were endometrial polyp (16 cases), submucous myoma (1 case), uterine septum (6 cases), asherman syndrome (7 cases), bicornuate uterus (4 cases), polyp + asherman (3 cases), polyp + submucous myoma (1 case), and septum + submucous myoma (1 case). Patients’ age, type of infertility, and menstruation time during performing hysteroscopy made no particular difference in diagnosing pathologies of the uterine cavity in the hysteroscopy. Conclusions: Based on the findings, conducting hysteroscopy in infertile women who are candidates of laparoscopy and have normal uterine cavities in HSG can result in recognizing some cases of uterine pathologies which influence the outcomes of future pregnancies is not dependent upon the patient’s age, menstruation time, type and duration of infertility, and result of laparoscopy.

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Section: Resultssupporting

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Mortalities and Morbiditiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Investigating Hysteroscopy Implementation in Infertile Women Candidate With a Normal Uterine Cavity for Laparoscopy in Hysterosalpingography

Amirian

Mohammadabad

Morovatdar

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

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Role of Hysterosalpingography in Management of Female Infertility and Its Laparoscopic Correlation

Agrawal

Dhosariya²,

Kumari³

et al. 2019

IJAR

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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.

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Diagnostic Accuracy of Hysterosalpingography in the Identification of Intrauterine Adhesions in Infertile Women in a Referral Centre, Southern Nigeria

Amike¹,

Oranu²,

Nyengidiki³

et al. 2023

OJOG

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Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup

Cited by 4 publications

References 16 publications

Investigating Hysteroscopy Implementation in Infertile Women Candidate With a Normal Uterine Cavity for Laparoscopy in Hysterosalpingography

Investigating Hysteroscopy Implementation in Infertile Women Candidate With a Normal Uterine Cavity for Laparoscopy in Hysterosalpingography

Role of Hysterosalpingography in Management of Female Infertility and Its Laparoscopic Correlation

Diagnostic Accuracy of Hysterosalpingography in the Identification of Intrauterine Adhesions in Infertile Women in a Referral Centre, Southern Nigeria

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