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  • Title: A comparative study of the efficacy of sonosalpingography and hysterosalpingogram to test the tubal patency in all women with primary and secondary infertility.
    Author: Malik B, Patil S, Boricha BG, Kurkal N, Choudhry M.
    Journal: Ultrasound Q; 2014 Jun; 30(2):139-43. PubMed ID: 24850029.
    Abstract:
    PURPOSE: This study was done to compare sonohysterography and correlate by hysterosalpingogram (HSG) for evaluation of utero tubal factor in female infertility. METHODS: Thirty women with primary or secondary infertility attending the outpatient department of the Department of Obstetrics & Gynaecology, Mahatma Gandhi Memorial Hospital, Kalamboli, from May 2010 to May 2011 underwent a sonosalpingography (SSG) on day 7 of the menstrual cycle and an HSG on day 9 of the same or next menstrual cycle. Sonosalpingography was used as the reference standard for HSG. All patients with any positive findings underwent hysterolaparoscopy. RESULTS: For evaluation of tubal patency, SSG had sensitivity of 95.83% and specificity of 100% for evaluation of tubal patency. In contrast, in HSG for evaluation of tubal patency, the sensitivity is 91.67% and specificity is 100%. CONCLUSIONS: Sonohysterosalpingography appears to be inexpensive, minimally invasive, quick, of no risk of ionizing radiation, and well-tolerable first-line diagnostic method for determining the tubal status and uterine cavity and can be performed at the time of conventional ultrasound scan in place of HSG and laparoscopy.
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