Comparative evaluation of hysterosalpingo contrast sonography with laparoscopy for determination of tubal patency in infertility

Authors

  • Geetha Krishnamoorthy Department of Obstetrics and Gynecology, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India
  • Amutha Perumal Department of Obstetrics and Gynecology, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India
  • Chithra Boovaragasamy Department of Community Medicine, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India
  • Gnanamani Gnanasabai Department of Community Medicine, Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201797

Keywords:

Infertility, Hysterolaparoscopy, Hysterosalpingo contrast sonography, Tubal patency

Abstract

Background: Tubal factor is responsible for infertility and is found in one of three infertile women. The current research was undertaken to compare the efficacy of hysterosalpingo contrast sonography (HyCoSy) with laparoscopy and chromopertubation in infertile women.

Methods: A cross-sectional study was conducted from August 2016 to March 2017 among the patients attending outpatient department with complaints of primary or secondary infertility after obtaining written and informed consent. Detailed history of the patient was taken; clinical examination and necessary investigations were done. Data analysis was carried out using SPSS version 22.

Results: All the HyCoSy findings showed excellent specificity (84-100%) and the sensitivity ranged from 40-87%.

Conclusions: Study conclude that HyCoSy is a good screening method for evaluating uterine cavity lesions and tubal block in infertile women being safe, sensitive, cost effective, non-invasive procedure giving additional information regarding ovarian, adnexal and peritoneal pathology.

Metrics

Metrics Loading ...

References

World Health Organisation. Manual for the standardized investigation and diagnosis of infertile couple. Cambridge, UK: Cambridge University Press, 2000. Available at: https://www.who.int/reproductivehealth/publications/infertility/0521774748/en/. Accessed on 30th December 2019.

Gnoth C, Godehardt E, Frank-Herrmann P, Friol K, Tigges J, Freundl G. Definition and prevalence of subfertility and infertility. Human Reprod. 2005;20(5):1144-7.

Guzick DS, Swan S. The decline of infertility: apparent or real?. Fertil Steril. 2006;86(3):524-6.

Tournaye H. Evidence based management of male subfertility. Curr Opin Obstet Gynecol. 2006;18:253-9.

Radić V, Čanić T, Valetić J, Duić Ž. Advantages and disadvantages of hysterosonosalpingography in the assessment of the reproductive status of uterine cavity and fallopian tubes. Eur J Radiol. 2005;53(2):268-73.

Socolov D, Lupaşcu IA, Danciu E, Doroftei B, Boian I, Boiculese L, et al. Sonohysterosalpingography versus hysterosalpingography in the evaluation of uterine and tubal infertility. Rev Med Chir Soc Med Nat Iasi. 2009;113(3):803-8.

Aggarwal D. Can HyCoSy replace laparoscopy and hysteroscopy as a method to assess tubal patency and uterine cavity lesions? IOSR-JDMS. 2019:18(5):80-3.

Strandell A, Bourne T, Bergh C, Granberg S, Asztely M, Thorburn J. The assessment of endometrial pathology and tubal patency: a comparison between the use of ultrasonography and X‐ray hysterosalpingography for the investigation of infertility patients. Ultra Obstet Gynecol. 1999;14(3):200-4.

Kupesic S, Plavsic BM. 2D and 3D hysterosalpingo-contrast-sonography in the assessment of uterine cavity and tubal patency. Eur J Obstet Gynecol Reprod Biol. 2007;133(1):64-9.

Hamilton JA, Larson AJ, Lower AM, Hasnain S, Grudzinskas JG. Evaluation of the performance of hysterosalpingo contrast sonography in 500 consecutive, unselected, infertile women. Human Reprod (Oxford, England). 1998;13(6):1519-26.

Reis MM, Soares SR, Cancado ML, Camargos AF. Hysterosalpingo contrast sonography (HyCoSy) with SH U 454 (Echovist) for the assessment of tubal patency. Human Reprod (Oxford, England). 1998;13(11):3049-52.

Sladkevicius P, Ojha K, Campbell S, Nargund G. Three‐dimensional power Doppler imaging in the assessment of Fallopian tube patency. Ultra Obstet Gynecol. 2000;16(7):644-7.

Chan CC, Ng EH, Tang OS, Chan KK, Ho PC. Comparison of three dimensional hysterosalpingo‐contrast sonography and diagnostic laparoscopy with chromopertubation in the assessment of tubal patency for the investigation of subfertility. Acta Obstet Gynecol Scand. 2005;84(9):909-13.

Downloads

Published

2020-04-28

How to Cite

Krishnamoorthy, G., Perumal, A., Boovaragasamy, C., & Gnanasabai, G. (2020). Comparative evaluation of hysterosalpingo contrast sonography with laparoscopy for determination of tubal patency in infertility. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(5), 2009–2013. https://doi.org/10.18203/2320-1770.ijrcog20201797

Issue

Section

Original Research Articles