Hysterosalpingography versus hysterscopy in intrauterine pathology research of infertile patients

Abstract

Background: The objective of the present paper is to confirm the validity and reliability of hysterosalpingography (HSG) in intrauterine pathology research of infertile female patients by comparing the hysteroscopy (HC) findings to a “gold standard’’ test. Aim: To analyze HSG and HC findings in infertility patients. Materials and Methods: The research was conducted as a prospective study at the Gynecological and Obstetrics Clinic “Narodni front’’ in Belgrade. Results: HSG indicated pathological findings in 72.5% of patients whereas HC revealed abnormalities of uterine cavity in 77.5%. In 12.5% of patients, HSG demonstrated a normal uterine cavity, and HC confirmed pathological findings, while in 7.5% of patients with filling defects and irregular shapes on HSG images, HC reported normal findings. In 22.5% of patients normal finding as well as endometrial polyps were reported; congenital malformations (anomalies)were found in 32.5%, submucosal myomas in 12.5% and Asherman’s syndrome in 10%. Conclusion: HC finding was crucial in final diagnosing.