Role of combined hysteroscopy and transvaginal ultrasound in evaluation of tubal patency in infertile women

Abstract

Background: Infertility is the failure to adequately have a healthy child. Tubal dysfunction is considered to be the cause of around 30% of all infertility cases. Examinations such as hysteroscopy and trans-vaginal ultrasound in evaluation of tubal patency in infertile women. Aim of the work:To determine the diagnostic utility of TVS done immediately after diagnostic hysteroscopy in measuring tubal patency among infertile ladies, also evaluate the results with those obtained following chromopertubation laparoscopically. Patients and methods:The endoscopic unit at our hospital saw a total of 60 infertile patients for laparoscopic chromopertubation over the threemonth period between March 2018 and March 2019. Prior to laparoscopic chromopertubation, a diagnostic hysteroscopy was performed, which was followed by a TVS procedure. pouch of Douglas was considered proof of tubal patency since it contained free fluid. On the basis of the outcome of TVS and laparoscopic chromopertubation, conclusions were drawn. It was determined if the mix of hysteroscopy and TVS improved the sensitivity, specificity, accuracy, and positive and negative predictive value in verifying unilateral or bilateral tubal patency. Results:The existence of fluid in the pouch of Douglas was identified in 49 out of the 60 instances studied in this study. In all 49 instances, laparoscopic chromopertubation was used to certify the patency of either the unilateral or bilateral tubules. The presence of bilateral tubal blockage was established by laparoscopic chromopertubation in 8 of the last 11 instances (in which there was no fluid in the pouch of Douglas during ultrasonography). TVS is used after diagnostic hysteroscopy for the evaluation of tubal patency and has been shown to have great sensitivity and specificity. Conclusion:In infertile women, TVS done immediately after diagnostic hysteroscopy offers extra information about tubal patency.