Open AccessHysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup
Author(s) -
Vani Malhotra,
Meenakshi Chauhan,
Pinkey Lakra,
Roopa Sangwan
Publication year - 2013
Publication title -
international journal of infertility and fetal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.102
H-Index - 6
eISSN - 2229-3833
pISSN - 2229-3817
DOI - 10.5005/jp-journals-10016-1066
Subject(s) - hysterosalpingography , hysteroscopy , medicine , infertility , uterine cavity , gynecology , obstetrics , unexplained infertility , abnormality , predictive value , prospective cohort study , female infertility , pregnancy , uterus , genetics , biology , psychiatry
Objective Uterine pathologies are the cause of infertility in 15% of infertile couples and their correction is associated with improved pregnancy rates. This prospective study was carried out to compare hysterosalpingography (HSG) with hysteroscopy (HSC) in evaluation of uterine pathology. Study design The research was approved by the institutional review board. A total of 100 infertile women were included in the study. HSC and HSG were performed in the follicular phase and the findings were compared. Student's t test and chi-square test were applied wherever applicable. Degree of agreement between the two procedures was calculated using kappa estimates. Results Thirteen percent of the women had abnormal HSG regarding the uterine cavity while 20% had abnormal HSC findings (chi-square value 1.77, p > 0.05). Out of 10% women who had normal HSG, some abnormality was found on HSC. Similarly 3% women with abnormal HSG had normal findings on HSC. Sensitivity of HSG in detecting uterine cavity abnormality was 50% and specificity 98.1%. Positive predictive value was 76.9% and negative predictive value was 88.5%. Result of HSG was false-negative in 10% of women and false-positive in 3%. Conclusion Hysteroscopy should be considered essential while investigating infertile women., Since HSG provides valuables information about tubes, it may supplement the hysteroscopic assessment. How to cite this article Chauhan MB, Lakra P, Sangwan R, Nanda S, Malhotra V. Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup. Int J Infertility Fetal Med 2013;4(3):79-82.