THE ROLE OF METFORMIN IN INDUCTION OF OVULATION IN OBESE INFERTILE PATIENTS WITH POLYCYSTIC OVARY SYNDROME

Investigation of the intrauterine cavity and tubal patency is indicated for many clinical conditions in gynecology. Despite the varied diagnostic options such as hysteroscopy and laparoscopy, hysterosalpingography is still an important and complementary examination in the early evaluation of infertility. The technique of HSG is quite simple, less invasive, more convenient, and provide reliable information about the uterine cavity, tubal patency, lesions, congenital anomalies and different types of intrauterine defects at less cost. Other than diagnostic, it can be therapeutic at time. Utilization of proper procedure can provide valuable diagnostic information and limit technical errors. A variety of technical problems may occur during HSG. These may relate to instrumental malfunction, anatomic abnormalities, artifacts or functional disturbances, and patient discomfort causing termination of the examination. The technical difficulties of HSG with an emphasis on the ways of facing problems are addressed in this presentation.