Title: A Comparative Study on Efficacy of HSG and Hysteroscopy in Diagnosing Tubal Block in Primary Infertility
Authors: Dr S.P. Aiswarya.,MBBS.MS (OBG) , Dr Sundar Narayanan., MBBS. MD
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.111
Abstract
This study was aimed to find the efficacy of the modern hystero-laproscopy (DHL) over hysterosalphingogram (HSG) in primary infertility patients with bilateral tubal block.
Materials and Methods: this study was conducted at Sudha Sunder hospital, Kanyakumari, India from Jan 2019 to June 2019 after institutional ethical clearance. Women with primary infertility who were diagnosed with bilateral tubal block through hystero-salphingogram were taken into this study. Hysteroscopy was done in these patients and the findings were noted, treated accordingly.
Results: 57primary infertility patients who were diagnosed to have bilateral tubal block in HSG were taken for the study. DLH was done for all these patients. Of these 33 patients had bilateral tubal block and the same was recanalized in all except one patient due to PID, 7 patients had unilateral tubal block and all were recanalized except one also due to PID and the rest 17 patients had a normal study.
Conclusion: this study suggests the superiority of diagnostic hystero laparoscopy over the routine, cost effective HSG which can be done as an OP procedure. Though DHL is an invasive procedure, it is 100% accurate compared to HSG that’s only 60% reliable in case of diagnosing tubal blocks.
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