Correlation of chlamydia IgG antibodies with hysterosalpingogram and laparoscopy

One hundred and eight hysterosalpingograms (HSG) available in the Department of Radiology of women identified as also having laparoscopy, were reviewed by a gynecologist and a radiologist blinded to clinical history, laboratory findings, and laparoscopic findings. Positive IgGs were associated with hydrosalpinges and salpingitis isthmica nodosa. With a positive IgG, a positive hysterosalpingogram for corkscrew was not statistically significant. Corkscrews were not specific for adhesions or for endometriosis. Positive IgG and positive hysterosalpingogram suggest chlamydia IgG, and HSG can be used to identify patients at increased risk of pelvic pathology. However, even patients with negative IgG and negative HSG had a 48% incidence of pelvic adhesive pathology.