Diagnostic value of hysterosalpingography: A retrospective data analysis.

Abstract Purpose Hysterosalpingography (HSG) is a contrast-enhanced, radiographic examination method of the internal female reproductive organs, which is used in the context of infertility diagnostics for the clarification of uterine malformations. The aim of this study was to investigate the significance of HSG as a diagnostic method in reproductive medicine.Methods The results of HSG examinations conducted in 293 patients from the Clinic of Reproductive Medicine and Andrology between 2006 and 2020 were investigated retrospectively. Results A comparison of HSG findings with those from initial baseline diagnostics (gynecologic manual examination, sonography, etc.) revealed a correlation of findings in 105 cases (35.84%) and divergence of findings in 79 cases (26.96%). With the assistance of the HSG findings, further specification of the previously collected findings was achieved in 27 cases (9.22%). The diagnostic significance of HSG in reproductive medicine was demonstrated by the fact that findings were obtained and could not be detected in the preliminary examinations. In addition, basic diagnostic findings were confirmed by HSG, and, conversely, previously obtained findings could be further specified with the help of HSG. Conclusion HSG is a method of radiologic examination that can be used to diagnose and specify uterine malformations.