Combined transvaginal sonography and diagnostic hysteroscopy in the assessment of tubal patency in infertile women in correlation to laparoscopic chromopertubation

Objective: The aim of this study was to investigate the diagnostic value of transvaginal sonography (TVS) performed after office hysteroscopy, for assessing tubal patency in subfertile women, and to compare the findings with those obtained with laparoscopic chromopertubation. Study design: This was a cross-sectional study. Patients and methods: TVS was first performed for 60 subfertile women to exclude the presence of free fluid in the pouch of Douglas. Office hysteroscopy was then performed in the outpatient clinic with saline distension medium using 80–100 mmHg pressure, followed by TVS again within 20 min to detect the presence of free fluid in the pouch of Douglas. Laparoscopy with tubal chromopertubation was performed within 1 week for all cases. The results of TVS and laparoscopic chromopertubation were compared. Results: The presence of free fluid in the pouch of Douglas after hysteroscopy was correlated to the presence of, at least, one patent tube through laparoscopic chromopertubation; there was a significant statistical difference (P
Source: Journal of Evidence-Based Women’s Health Journal Society - Category: OBGYN Tags: Original articles Source Type: research