Role of Laparoscopy, SSG and HSG in the Diagnosis of Tubal Factors of Infertility
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Female infertility is a condition of a woman who in ordinary favorable circumstances for breeding adds not even one to the population or produces no living or viable child. Hysterosalpingography gives information mainly about uterine cavity and patency of fallopian tubes. The present study was conducted with the aim to determine the role of laparoscopy, SSG and HSG in the diagnosis of tubal factors of infertility. Materials and Methods: The present study was conducted in the Department of Gynae & Obst, SMS Medical College, Jaipur on 50 cases of both primary and secondary infertility attending Gynae OPD. A complete history and medical evaluation of all the subjects was performed. Complete hemogram, urine examination and ECG of subjects were obtained. Sonosalpingography and HSG were performed amongst the subjects. HSG was considered normal if both fallopian tubes filling normally and free intra-abdominal spill of contrast medium without pocket formation was seen. All the results obtained were arranged in a tabulated form and analyzed using SPSS software. False positive and true positive values were obtained. Results: The present study was conducted with 50 females, out of which majority was residents of urban area and belonged to middle class. There were 54% females between 25-29 years of age. In this study results were expressed as positive when there was fluid in pouch of douglas indicating patency of either one of tube and negative when there was no fluid in pod after instillation indicating block. Out of 18 cases showing block , 13 cases truly predicted the blockage of tubes ( i.e. True positive) whereas 5 cases were wrongly not showing free spill due to peritubal adhesion or tubal spasm . 22 cases were found to have blocked tubes were true positive and no case was found as false negative, here by sensitivity of laparoscopy is 100 % and specificity is also 100%. Conclusion: From the above study, our study it can safely be concluded that diagnostic laparoscopy is ideal for evaluation of tubal factors in infertility work up and it should be done in all patients of infertility.
Authors and Affiliations
Swati Bansal, Mukesh Mittal
Keywords
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- EP ID EP531158
- DOI 10.21276/ijmrp.2018.4.1.124
- Views 79
- Downloads 0
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