The association of intrauterine filling defects on hysterosalpingogram with endometriosis.
OBJECTIVE
To determine whether there is a significant association between the presence of polyps or polypoid endometrium on hysterosalpingogram (HSG) with the presence of pelvic or peritoneal endometriosis.


METHODS
Retrospective chart review.


METHODS
Department of Reproductive Endocrinology and Infertility at the University of Vermont, College of Medicine.


METHODS
One hundred twenty patients, all of whom had a HSG, hysteroscopy, and laparoscopy by a member of our department between 1989 and 1993.


METHODS
Hysterosalpingograms were assessed for the presence of hypertrophic or polypoid endometrium. The presence of endometriosis was documented laparoscopically and scored according to The American Fertility Society classification and HSG findings were documented by hysteroscopy.


RESULTS
Endometriosis was found in 27 of 32 women with polyps or polypoid endometrium but in only 19 of 88 women without. chi 2 analysis revealed a significant association between the demonstration of polyps or polypoid endometrium on HSG and the presence of endometriosis, chi 2(1) = 33.97. The predictive value of a positive test was 84% and the negative predictive value was 75%.


CONCLUSIONS
The presence of polyps or polypoid endometrium on HSG is significantly associated with the presence of pelvic or peritoneal endometriosis.
McBean
J H
JH
Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington, USA.
Gibson
M
M
Brumsted
J R
JR
D000328:Adult; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging*; D004715:Endometriosis / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology; D011127:Polyps / Q000000981:diagnostic imaging*; D012189:Retrospective Studies