Comparison of hysterosalpingography and hysteroscopy in female infertility.
OBJECTIVE
To determine the diagnostic value of hysterosalpingography (HSG) and diagnostic hysteroscopy in infertility evaluations.


METHODS
Comparative 2-year study.


METHODS
Outpatient infertility clinic of a tertiary medical center.


METHODS
Two hundred sixteen women being investigated for infertility.


METHODS
An HSG was followed by a diagnostic hysteroscopy.


RESULTS
The HSGs were interpreted as normal in 79 (36.9%) women and as showing some abnormalities of the uterine cavity in 135 (63.1%). In the former group, 51 patients had a normal uterine cavity, but 28 had abnormal findings on hysteroscopy, a false negative rate of 35.4%. Of 135 women with an abnormal HSG, hysteroscopy found a normal uterine cavity in 21, a false positive rate of 15.6%. The sensitivity of HSG was 80.3% in revealing intrauterine abnormality and its specificity was 70.1%. Although some abnormalities were identified by both methods in 114 women, findings of both procedures were similar in only 88 (77.2%). In 75 (35.0%), the findings of HSG differed from those of hysteroscopy. In only 139 (65%) patients were the findings (normal and abnormal) similar for both methods.


CONCLUSIONS
We advocate hysteroscopy in the investigation of female infertility for its accuracy, safety, simplicity, and convenience.
Wang
C W
CW
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan, Republic of China.
Lee
C L
CL
Lai
Y M
YM
Tsai
C C
CC
Chang
M Y
MY
Soong
Y K
YK
D000293:Adolescent; D000328:Adult; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D007247:Infertility, Female / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012680:Sensitivity and Specificity