HYSTEROSALPINGOGRAPHY IN INFERTILITY
A USEFUL OR OBSOLETE DIAGNOSTIC TOOL?
Keywords:
HYSTEROSALPINGOGRAPHY, INFERTILITY, TUBAL OBSTRUCTION, ULTRASONOGRAPHY, MAGNETIC RESONANCE IMAGINGAbstract
INTRODUCTION: In the evaluation of infertile women, one of the first steps is the evaluation of tubal patency. OBJECTIVES: to assess whether hysterosalpingography remains a useful diagnostic tool in the evaluation of tubal obstruction. METHODS: literature review at PUBMED, in addition to the articles retrieved through a search in databases, textbooks and reference articles of the reviewed articles. RESULTS: The performance of hysterosalpingography is affected by factors such as the underlying pathology and the training and experience of the practitioner performing and interpreting the images. Hysterosalpingography is most useful for predicting tubal occlusion. CONCLUSION: despite the imminence of other methods for the evaluation of tubal patency in infertile patients, hysterosalpingography remains a useful diagnostic tool with excellent accuracy for the diagnosis of tubal obstruction.