Hysterosalpingography in the Evaluation of Infertility

Abstract
Hysterosalpingography (HSG) was performed in 220 women for evaluation of infertility. Laparoscopy or laparotomy for final assessment of tubal patency was done in 110. HSG revealed a normal tubal patency in 66.8%, whereas abnormal patency was found in 24.1%. At operation, 85.7% of the HSG diagnoses were confirmed. A clear correlation existed between previous lesions in the genital tract and pathologic findings at HSG and operation. The pregnancy rate following HSG was 15.4%. HSG apparently is of great value in the initial evaluation of infertility. The findings facilitate the decision regarding the final operative procedure: laparoscopy or laparotomy.