Diagnostic value of sonohysterography in the determination of fallopian tube patency as an initial step of routine XXXX assessment.

@entity1 @entity5274 @entity249
OBJECTIVES: Infertility is defined as the failure to conceive after 1 year of regular unprotected intercourse. It affects 10% to 15% of couples. Sonohysterography (SHG) is an accurate method for the assessment of fallopian tube patency, reflected in its high positive predictive value compared with hysterosalpingography (HSG) and laparoscopy with chromopertubation. In this study, our goal was to determine the diagnostic value of SHG for the diagnosis of bilateral @entity5274 by comparison of SHG with HSG and laparoscopic results. METHODS: This study was based on the evaluation of tubal patency by SHG and by the combination of HSG and laparoscopy in 40 @entity1 . All @entity1 underwent HSG as a routine @entity249 workup, and all @entity1 with bilateral proximal @entity5274 diagnosed by HSG subsequently underwent SHG. RESULTS: Among 1024 infertile @entity1 referred to an @entity249 clinic, 117 (11.4%) had a diagnosis of a tubal factor as the cause of their @entity249 . Forty-two @entity1 with HSG findings of bilateral proximal @entity5274 were enrolled. Forty @entity1 underwent SHG. In 32 @entity1 (80%), at least 1 fallopian tube was patent, and 8 @entity1 (20%) were reported to have bilateral @entity5274 . Those 8 @entity1 with SHG evidence of bilateral @entity5274 underwent laparoscopy. Eventually, 6 of those were laparoscopically confirmed to have bilateral @entity5274 . CONCLUSIONS: Sonohysterography is an accurate method for the determination of fallopian tube patency. It is a simple, safe, and well-tolerated technique with a low risk of adverse effects and severe complications.
