Abstract
The study examined the current role of Hysterosalpingography in the investigation of the infertile couple in view of the increasing use of Laparoscopy in the evaluation and management of infertility. Electronic search of published literature was done using the Pubmed, Cochrane libraries and Google search engine. The search was restricted to English language articles. Hysterosalpingography is a simple method of evaluating fallopian tube patency and cervico-uterine abnormalities. It is virtually non-invasive; and it can be therapeutic. HSG has a high specificity and a high positive predictive value; it also has a low complication rate. It requires less skill acquisition and necessary equipment are readily available. Laparoscopy should be performed in cases of abnormal hysterosalpingogram or persisting infertility in despite of normal HSG and other parameters
Highlights
Infertility is a worldwide problem, affecting the total wellbeing of the individuals or couples involved
The word sub fertility is been encouraged as opposed to infertility which appears to indicate a permanent inability to conceive
Infertility is defined as the inability of a couple to achieve conception after one year of frequent and regular unprotected sexual intercourse [3]
Summary
Infertility is a worldwide problem, affecting the total wellbeing of the individuals or couples involved. It is not just a medical problem and a social one; it has become a public health issue [1]. IVF –embryo transfer has replaced tubal surgery as treatment of choice for tubal subfertility. It has become the treatment of last resort for persistent infertility due to any cause [8]. This study aims at examining the current role of Hysterosalpingography in tubal and pelvic assessment in the evaluation of infertility in view of the increase use of laparoscopy in investigation and management of the infertile couple
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