A radiological approach to infertility—hysterosalpingography

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Abstract
The hysterosalpingograms (HGS) of 98 infertile patients were reviewed with reference to technical problems, radiological features of each pathology and accuracy of reporting. Findings were confirmed by review of the reports of laparotomy or laparoscopy on all patients. Of 196 fallopian tubes studied, 70 hydrosalpinges were correctly diagnosed from a total of 77. Agreement between HSG and surgery was achieved in 123 of 127 fallopian tubes with peritubal adhesions, in all 6 of those with cornual spasm and in 8 with cornual occlusion. In 16 of 20 fallopian tubes with partial distal occlusion diagnosis was correct. HSG should be a preliminary diagnostic procedure in every case and in many may be the only study of tubal patency required prior to surgery or conservative management.