Comparative Study of Sonosalpingography and Diagnostic Laparoscopy for Evaluation of Tubal Patency in Infertile Women
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Background: Various tubal pathologies accounts for 10% aetiological factors in infertility couples. sonosalpingography (SSG) helps in eliminating the risks associated with the use of dye and radiation required for hysterosalpingography. Most frequently used procedure to evaluate tubal patency are Sonosalpingography & diagnostic laparoscopy. The aim of this study to find out sensitivity & specificity of various methods of assessing tubal patency. Materials & Methods: The study was conducted in 50 infertile female between age of 18-40 year who were attending at Gynae OPD at Mahila Chikitsalya Jaipur between Nov. 2016 to April 2017 were included in this study after excluding cases of infertility due to male factors. At first visit history, general physical examination & pelvic examination was done patient who had no obvious abnormality in either history or examination were subjected to preliminary investigation before comparative study was undertaken. Sonosalpingography was done in postmenopausal phase between 7th to 9th day of menstrual cycle & diagnostic laparoscopy was done premenstrualy on 21st day of cycle. Results: The maximum numbers of patients were between 20-24 year (40%) of age group followed by 34% in 25-29 years of age group. The incidence of primary infertility was 78% & secondary infertility was 22%. Majority of patients was residing to urban areas (58%). Hydrosalpinx pelvic was more common pathology in both type of test (4 cases & 5 cases respectively). Severe pain (4 cases) was occurred in Sonosalpingography and vomiting (6 cases) in Diagnostic Laparoscopy. Conclusion: The sonosalpingography should be used initially to assess tubal patency in case of infertility, if any abnormality is detected on sonosalpingography, a hysterosalpingography or laparoscopy can be done for the confirmation.
Authors and Affiliations
Anju Sharma, Dr. Nikita, Megha Agarwal, Hina Chaturvedi, Charusmita Agarwal
Keywords
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- EP ID EP533110
- DOI 10.21276/ijmrp.2018.4.6.026
- Views 93
- Downloads 0
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