Ultrasonography as an adjunct to hydrotubation in the management of female infertility.
Thirty one female patients who were being investigated for infertility had hydrotubation with ultrasound monitoring (sonosalpingography) in addition to the standard tubal patency tests of hysterosalpingography (HSG) and dye test at laparoscopy. Compared to the standard tests, sonosalpingography (SSG) had a sensitivity of 90 to 100 pc and a specificity of 95 pc in detecting bilateral tubal occlusion. In the detection of side-specific patency of the tubes, SSG had a sensitivity of 94 pc and 89 pc when compared with HSG and laparoscopy respectively. The corresponding specificity values were 83 pc and 85 pc. Hydrotubation enhanced the ability of ultrasonography to detect such uterine abnormalities as uterine synechae, intrauterine septa and submucous fibroids. It was concluded that sonosalpingography is a sensitive and relatively safe screening method for assessing tubal patency in infertile women. It also provides valuable information about the uterine wall and uterine cavity.
Omigbodun
A O
AO
Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, Ibadan.
Fatukasi
J I
JI
Abudu
T
T
D005260:Female; D006785:Hospitals, University; D006801:Humans; D007047:Hysterosalpingography / Q000592:standards; D007247:Infertility, Female / Q000000981:diagnostic imaging* / Q000453:epidemiology; D010535:Laparoscopy / Q000592:standards; D009549:Nigeria / Q000453:epidemiology; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000592:standards*