HYSTEROSALPHINGOGRAPHY IN THE EVALUATION OF PRIMARY AND SECONDARY INFERTILITY

Abstract

Aim and Objectives: Hysterosalpingography is a gold standard and cost effective method of assessing the integrity of the female genital tract. Two important indications for obtaining HSG are evaluation of tubal patency and congenital uterine anomalies. Hysterosalpingography is a safe,relatively inexpensive, simple and rapid diagnostic test, when performed properly provides valuable information about the uterine cavity and tubal architecture. A prospective study of 100 consenting women coming to GCS Hospit Material and Method: al having primary or secondary infertility and fullling the inclusion criterias were identied and explained about the procedure and after obtaining basic investigations hysterosalphingography was performed the most common age group in primary infertility was Results: 21-25 yrs about 46% and in secondary age group was 26-30 about 42%,18% of primary infertility and 34% of secondary infertility had menstrual irregularities.6% of primary infertility and 10% of secondary infertility had tubal factors,as compared uterine factors which were 6% in both primary and secondary infertility Conclusion: HSG is an effective tool with high specicity in diagnosing tubal factor.It is also highly sensitive for congenital anomalies.It is cost effective, and helps in demarcating patients who recquire further evaluation with laparoscopy.