Efficacy of Sonosalpingography and Hysterosalpingography in the Diagnosis of Infertility- A Comparative Evaluation

Abstract

Introduction: Infertility is a leading psychosocial problem in couples. Diagnostic evaluation of uterine tube is important in the management of infertility. Aim: To assess the efficacy of Sonosalpingography (SSG) and Hysterosalpingography (HSG) in the diagnosis and management of infertility. Materials and Methods: A total 50 cases attending the department with complaint of infertility between age group 2nd to 4th decades were recruited for this study. All the cases were undergone with baseline transabdominal sonogram, real time transvaginal sonography and saline infusion sonography to examine pelvic region of the cases. All the participants had to undergo SSG on 8th day and HSG on 10th day of the menstrual cycle. Data was collected and sensitivity and specificity of SSG over HSG was assessed. Statistical analysis was done by using SPSS software version 16.0. Results: Diagnosis by SSG showed bilateral tubal patency in 84% cases and by HSG showed bilateral tubal patency in 70% cases. SSG and HSG both correlated well (95.3%) and both procedures had similar diagnostic accuracy. SSG has 95.6% Positive Predictive Value (PPV), 94.9% Negative Predictive Value (NPV), 98.5% Sensitivity and 85.1% specificity in comparison to HSG. The outcome of this study indicates that there is no statistically significant difference (p=0.338) between the values of SSG and HSG. Conclusion: SSG is cost effective and radiation free procedure. The outcome of SSG is almost similar to the values of HSG.

Keywords

• primary infertility
• secondary infertility
• sensitivity
• specificity
• tubal patency