The accuracy of hysterosalpingography versus laparoscopy in evaluation of infertile women

AbstractTwo hundred fifteen infertile women underwent hysterosalpingography (HSG) and laparoscopy. One hundred twenty‐eight patients had bilaterally patent tubes on hysterosalpingography. Thirty‐one percent of these women had pelvic adhesions diagnosed by laparoscopy. Eighty‐seven women had either occluded tubes or suspected pelvic adhesions on hysterosalpingography. Thirty‐nine percent of these women had patent tubes without any pelvic pathology on laparoscopy. Inaccurate diagnoses limit the value of hysterosalpingography in evaluation of tubal and peritubal pathology.