Abstract
Aim
Hysterosalpingography (HSG) is one of the most commonly used methods in order to evaluate the condition of fallopian tubes in infertility clinics. In the present paper, we retrospectively compared the findings of HSG and laparoscopy to elucidate the relationship between tubal dysfunction and background factors, such asChlamydia trachomatis infection, endometriosis and previous surgery.
Methods
We retrospectively reviewed clinical records of 314 patients who were examined by both HSG and laparoscopy between 1996 and 2001 in the Department of Obstetrics and Gynecology, University of Tokyo.
Results
When HSG findings were evaluated in reference to those of laparoscopy, sensitivity and specificity for tubal patency were 0.63 and 0.79, respectively, whereas those for peritubal adhesion were 0.65 and 0.61, respectively. We compared the percentage of existence of background factors between the patients who were diagnosed as normal by both HSG and laparoscopy (Group L[+]) and those whose fallopian tubes were observed as patent by HSG, but were not patent by chromopertubation under laparoscopy (Group L[-]). The percentage of patients with positive chlamydial antibodies in Group L(-) (42.9%, 15/35) was significantly higher than that of patients with positive chlamydial antibodies in Group L(+) (22.8%, 44/193, P< 0.05).
Conclusions
These finding suggested that even if HSG showed normally patent tubes in a patient with positiveChlamydia trachomatis antibodies, the possibility of tubal occulusion still remains high and further examination by laparoscopy is recommended.
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Hiroi, H., Fujiwara, T., Nakazawa, M. et al. High incidence of tubal dysfunction is determined by laparoscopy in cases with positiveChlamydia trachomatis antibody despite negative finding in prior hysterosalpingography. Reprod Med Biol 6, 39–43 (2007). https://doi.org/10.1111/j.1447-0578.2007.00163.x
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DOI: https://doi.org/10.1111/j.1447-0578.2007.00163.x