The association of intrauterine filling defects on hysterosalpingogram with endometriosis

McBean JH, J H McBean, Judith H. McBean, Mark Gibson, M Gibson, Gibson M, J R Brumsted, John R. Brumsted, Brumsted JR
Fertility and Sterility · 1996 · vol. 66(4) , pp. 522–526 · doi:10.1016/s0015-0282(16)58562-8 · PMID:8816611 · W92907971
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This study investigated the link between intrauterine filling defects seen on hysterosalpingography and the presence of endometriosis.

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Abstract

ObjectiveTo determine whether there is a significant association between the presence of polyps or polypoid endometrium on hysterosalpingogram (HSG) with the presence of pelvic or peritoneal endometriosis.DesignRetrospective chart review.SettingDepartment of Reproductive Endocrinology and Infertility at the University of Vermont, College of Medicine.PatientsOne hundred twenty patients, all of whom had a HSG, hysteroscopy, and laparoscopy by a member of our department between 1989 and 1993.Main outcome measureHysterosalpingograms were assessed for the presence of hypertrophic or polypoid endometrium. The presence of endometriosis was documented laparoscopically and scored according to The American Fertility Society classification and HSG findings were documented by hysteroscopy.ResultsEndometriosis was found in 27 of 32 women with polyps or polypoid endometrium but in only 19 of 88 women without. chi 2 analysis revealed a significant association between the demonstration of polyps or polypoid endometrium on HSG and the presence of endometriosis, chi 2(1) = 33.97. The predictive value of a positive test was 84% and the negative predictive value was 75%.ConclusionThe presence of polyps or polypoid endometrium on HSG is significantly associated with the presence of pelvic or peritoneal endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometrial Neoplasms Endometriosis Hysterosalpingography Polyps Adult Endometrial Neoplasms Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Polyps Retrospective Studies

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