Exploration of infertility: Correlation hysterography hysteroscopy

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Published Jun 1, 2012
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Vol. 90 No. 6 (2012): Issue Jun 2012

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Mourali Mechhal
Jihène Ben Aoun
Hcini N
Gharsa Anissa
Oueslati Seddik
Binous Naoufel
Chaabene Mounira

Abstract

Background: In literature, a uterine lesion in found in half of the infertile women
Aim: To compare the results of the hysteroscopy and the hysterosalpingography in the study of the uterine cavity as exploration of feminine infertility.
Methods: Retrospective study, over a period of four years from 1 January 2005 to 31 December 2008however, on 140 cases of infertile patients explored in the gynecology obstetrics department in Mahmoud El Matri hospital.
Results: Compared with hysteroscopy, hysterography had an overall sensitivity of 76.56%, a specificity of 77.63%, a PPV of 74.24%, an NPV of 79.72% and a very strong correlation with coefficient of 0.83. Best correlations between the two examinations were found with polyps, fibroids and synechia.
Conclusion: Hysterosalpingography remains the first line examination in the exploration of feminine infertility. However, hysteroscopy must be realized as a second examination in case of lesions found at the hysterography or at once in certain cases.

Keywords:

Infertility- hysterography- hysteroscopy

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