Correlation of ultrasonography, hysterosalpingography and hystero-laparoscopy findings in cases of infertility

Falahunisa S. Shaikh
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(12) , pp. 5390 · doi:10.18203/2320-1770.ijrcog20175248 · W2769503482
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This study correlated ultrasonography, hysterosalpingography, and hysterolaparoscopy findings in 105 infertile women, finding hysterolaparoscopy to be the definitive diagnostic method.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This prospective two-year study at INHS Asvini Hospital evaluated 105 infertile women using ultrasonography, hysterosalpingography (HSG), hysteroscopy, and hystero-laparoscopy to correlate diagnostic findings across modalities. Across tests, reported abnormalities included polycystic ovaries, ovarian cysts, fibroids, endometrioma, adnexal masses, tubal blocks (often unilateral and bilateral), hydrosalpinx, and septate uterus; laparoscopy also identified endometriosis in 20% of patients, and hysteroscopy did not visualize polyps. The authors concluded that hystero-laparoscopy provides a definitive diagnosis and should be considered the gold standard, while noting other tests as noninvasive and complementary rather than competing. This paper is centrally about endometriosis — it directly reports endometriosis findings detected by hystero-laparoscopy during infertility evaluation.

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Abstract

Background: Infertility is a condition which has medical as well as social impact on the state of the couple. Approximately 10-15% couples are infertile. A wide arena of tests is available for the diagnosis of the causes of infertility. The aim of present study is to correlate the findings of ultrasonography, hysterosalpingography and hysterolaparoscopy in infertility.Methods: It is a prospective study done over 2 years at INHS Asvini hospital, Mumbai. Infertile women underwent ultrasonography, hysterosalpingography and hystero-laparoscopy. Data was assessed using SPSS 17 software.Results: Of 105 patients, on ultrasonography, 22.9% had Polycystic ovaries (PCO), 2.9% had ovarian cyst, 4.8% had fibroid, 4.8% had endometrioma, 3.8% had adnexal mass, 3.8% had polyp. On hysterosalpingography, 18 (17.1%) had left and 20 (19%) had right tubal block, 11 (10.47%) had B/L tubal block, 6 (5.7%) had septate uterus, 6 (5.7%) had hydrosalpinx. On laparoscopy, 12 (11.4%) had PCO, 4 (3.8%) had ovarian cyst, 12 (11.4%) had fibroid, 7 (6.7%) had endometrioma, 19 (18.1%) had left and 18 (17.1%) had right tubal block, 12 (11.42%) had B/L tubal block, 4 (3.8%) had hydrosalpinx. On hysteroscopy, 7 (6.7%) had septate uterus, no polyp seen.On laparoscopy, 21 (20%) had endometriosis, 1 (1.9%) had bicornuate uterus.Conclusions: On comparing the results it was observed that hysterolaparoscopy gives definitive diagnosis and should be considered gold standard, though other modalities of investigation should be considered complimentary and not competing with it, as they are noninvasive.
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Background

Infertility is a condition which has medical as well as social impact on the state of the couple. Approximately 10-15% couples are infertile. A wide arena of tests is available for the diagnosis of the causes of infertility. The aim of present study is to correlate the findings of ultrasonography, hysterosalpingography and hysterolaparoscopy in infertility.

Methods

It is a prospective study done over 2 years at INHS Asvini hospital, Mumbai. Infertile women underwent ultrasonography, hysterosalpingography and hystero-laparoscopy. Data was assessed using SPSS 17 software.

Results

Of 105 patients, on ultrasonography, 22.9% had Polycystic ovaries (PCO), 2.9% had ovarian cyst, 4.8% had fibroid, 4.8% had endometrioma, 3.8% had adnexal mass, 3.8% had polyp. On hysterosalpingography, 18 (17.1%) had left and 20 (19%) had right tubal block, 11 (10.47%) had B/L tubal block, 6 (5.7%) had septate uterus, 6 (5.7%) had hydrosalpinx. On laparoscopy, 12 (11.4%) had PCO, 4 (3.8%) had ovarian cyst, 12 (11.4%) had fibroid, 7 (6.7%) had endometrioma, 19 (18.1%) had left and 18 (17.1%) had right tubal block, 12 (11.42%) had B/L tubal block, 4 (3.8%) had hydrosalpinx. On hysteroscopy, 7 (6.7%) had septate uterus, no polyp seen. On laparoscopy, 21 (20%) had endometriosis, 1 (1.9%) had bicornuate uterus.

Conclusions

On comparing the results it was observed that hysterolaparoscopy gives definitive diagnosis and should be considered gold standard, though other modalities of investigation should be considered complimentary and not competing with it, as they are noninvasive. Metrics

References

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