Comparative study of hydrotubation, sonosalphingography, hysterosalphingography and diagnostic laproscopy for evalution of tubal patency in infertile women

Abstract

Objectives: This study was done to compare Hydrotubation, Sonosalphingography, Hysterosalphingography and Diagnostic laproscopy for evalution of tubal patency in infertile women.Methods: 50 women with primary and secondary infertility attending OPD of Obst and gyn department S. M. S. M. C, Jaipur from May 2016 to April 2017 underwent Hydrotubation and Sonosalphingography on day 7of menstrual cycle and on Hysterosalphingography on day 9 and DL on 21/22 day of the same or next menstrual cycle. Results: For evalution of tubal patency, Hydrotubation has sensitivity 84.61% and specificity of 95.12%. SSG had sensitivity of 91.67% and specificity of 97.50% for evalution of tubal patency. In contrast,in HSG for evalution of tubal patency, the sensitivity is 78.57% and specificity is 92.85%. Conclusion: Hydrotubation appears to be inexpensive, non-invasive, and quick, of no risk of ionizing radiation, opd procedure and well tolerable first line diagnostic method for determining the tubal patency in infertility.