{"paper_id":"95a7f8b3-7e00-4cf9-a688-85e79042cf87","body_text":"Abstract\nEndometriosis is a common disease in young women being evaluated for infertility. Although endometriosis may cause tubal abnormalities on hysterosal-pingography, efficacy of radiographic evaluation in this disease is not clear. We reviewed the radiographic and laparoscopic examinations in 50 women being studied for infertility. Laparoscopy was normal in 15 women and showed endometriosis in 35 patients. Endometriosis was staged at laparoscopy using the classification of the American Fertility Society. Radiographic examinations were reviewed blindly and tubal status noted in each patient. Criteria for tubal abnormality included incomplete or absent filling and ampullary dilatation or convolution. Radiographic efficacy was determined by correlating the tubal appearance to the severity and location of endometriosis. A total of 98 tubes were correlated but only 10 (10%) were felt to be involved by endometriosis based on laparoscopic findings. Radiologic sensitivity was 40% (4 of 10) and specificity was 83% (73 of 88). Positive predictive value was 21% (4 of 19) due to 15 false-positive diagnoses in tubes uninvolved by endometriosis. In conclusion, endometriosis, regardless of its severity, rarely causes radiographic abnormalities on hysterosalpingography because of the location of disease in the pelvis.\nSimilar content being viewed by others\nReferences\nButtram VC Jr. Endometriosis. In Behrman SJ, Kistner RW, Patton GW Jr, eds. Progress in infertility, 3rd ed. Boston: Little,Brown, 1988:273–329\nStrathy JH, Molgaard CA, Coulam CB, Melton LJ III. Endometriosis and infertility: a laparoscopic study of endometriosis among fertile and infertile women. Fertil Steril 1982;38:667–672\nWood GP. Laparoscopic examination of the normal infertile woman. Obstet Gynecol 1983;62:642–643\nWeitzman GA, Buttram VC. Classification of endometriosis. Obstet Gynecol Clin North Am 1989;16:61–77\nAdamson GD. Diagnosis and clinical presentation of endometriosis. Am J Obstet Gynecol 1990;162:568–569\nSiegler AM. Hysterosalpingography. Fertil Steril 1983;40:139–158\nBelaish J. Hysterographic images of genital endometriosis. Contrib Gynecol Obstet 1987;16:109–118\nWinfield AC, Wentz AC. Diagnostic imaging of infertility, Baltimore: Williams & Wilkins, 1987:105–125\nChen YM, Ott DJ, Pittaway DE, Fayez JA, Gelfand DW. Efficacy of hysterosalpingography in evaluating tubal and peritubal disease in 200 patients with infertility. Rays 1988;13:27–32\nKarasick S, Goldfarb AF. Peritubal adhesions in infertile women: diagnosis with hysterosalpingography. AJR 1989;152:777–779\nOtt DJ, Fayez JA. Hysterosalpingography: a text and atlas. Baltimore: Urban & Schwarzenberg, 1991:103–125\nYoder IC, Hall DA. Hysterosalpingography in the 1990's. AJR 1991;157:675–683\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nJohnson, W.K., Ott, D.J., Chen, M.Y.M. et al. Efficacy of hysterosalpingography in evaluating endometriosis. Abdom Imaging 19, 278–280 (1994). https://doi.org/10.1007/BF00203528\nReceived:\nAccepted:\nIssue date:\nDOI: https://doi.org/10.1007/BF00203528","source_license":"CC0","license_restricted":false}