The role of hysterosalpingography in the evaluation of infertile women without risk factors for tubal pathology

Abstract

Gonderilme tarihi: 20.03.2015 Kabul tarihi: 31.05.2015 Abstract Purpose: Assessment of tubal patency plays an important role in the diagnosis of female infertility. Hysterosalpingography (HSG) and conventional laparoscopy with chromopertubation is traditionally used in the assessment of tubal patency. We aimed to determine the necessity of HSG in evaluation of infertile women according to risk factors for tubal pathology. Materials and methods: This prospective case-control study includes 174 infertile patients who were admitted infertility clinic. Age, duration of marriage, sexual relationship status, reproductive history were recorded. Patients were evaluated in terms of risk factors of tubal factors related to infertility and existing risk factors were recorded. The patients were divided into 2 groups; Group 1 composed of patients with risk factors and Group 2 composed of patients without risk factors. Results: History of abdominal surgery was the most common risk factors (82.97%) in patients. Thirty five of 47 (74.46%) patients in Group 1 had patency in any tuba and while 118 of 127 (92.91%) patients in Group 2 had patency in any tuba (p=0.001). Bilateral tubal occlusions were identified in 12 of 47 (25.53%) patients in Group 1, and in 9 of 127 (7.08%) patients in Group 2. The difference between two groups was statistically significant (p=0.001). Conclusion: Hysterosalpingography could be neglected in case of the evaluation of infertile women without risk factors for tubal pathology. Thus, the patients without risk of tubal factor will be protected from hysterosalpingography procedure which does not provide meaningful contribution has a radiation hazard and is painful prosedure. Larger scaled studies on this subject are warranted to reach more precise conclusion.