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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparing the Efficacy of Sonosalpingography and Hysterosalpingography in Detecting Tubal and Uterine Pathology in Infertile Women

S. Swetha Reddy, M. Laxmi, P. Padmaja and Kezia Doggela
Page: 93-97 | Received 02 Jun 2023, Accepted 12 Aug 2023, Published online: 25 Aug 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.9.93.97

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Abstract

Infertility, defined as the inability to conceive after a year of regular intercourse, poses psychological and societal challenges. In India, tubal factors contribute significantly, linked to conditions like pelvic inflammation and tuberculosis. Traditional methods like Hysterosalpingography (HSG) come with limitations. Sonosalpingography (SSG), a saline-based ultrasound procedure, offers a cost-effective and radiation-free alternative. Dr. Richman championed SSG's reliability. This study highlights SSG's value in tubal assessment, aiming to reduce radiation exposure, lower costs and promote SSG as a primary diagnostic tool for female infertility. SSG simplifies initial assessments and may revolutionize infertility diagnosis and management. This Prospective comparative study, conducted from June 2019 to October 2020 at the Outpatient Department (OPD) of the Department of Obstetrics and Gynaecology, Government Maternity Hospital in Warangal, focused on women with primary or secondary infertility. 50 cases were included. Husbands' seminal parameters were assessed and male factors were excluded as contributors to infertility during subject selection. Among the 50 cases, 84% had primary infertility and 16% had secondary infertility, including those with prior pregnancies. Most patients were aged 21-30, a peak fertility period. In primary infertility, marriage durations ranged from 1-9 years, while secondary infertility primarily lasted 2-3 years for 75% of cases. Diagnostic results showed that 90% had patent fallopian tubes via sonosalpingography, 4% had bilateral blockage and 6% had unilateral blockage. Hysterosalpingography yielded consistent results. Uterine anomalies were identified in 4% of cases. Both procedures demonstrated similar outcomes, with 88% agreement on tubal patency. A strong positive correlation (r = 0.804, p<0.001) was observed between the two methods. SSG offers an accessible, time-efficient and cost-effective outpatient option, avoiding anesthesia and radiation risks, with diagnostic accuracy comparable to hysteroscopy and laparoscopy. SSG can serve as an initial patency test, with radiographic salpingography as a follow-up if needed, streamlining infertility evaluations and emphasizing the importance of avoiding unnecessary tests for vulnerable couples.

How to cite this article:

S. Swetha Reddy, M. Laxmi, P. Padmaja and Kezia Doggela. Comparing the Efficacy of Sonosalpingography and Hysterosalpingography in Detecting Tubal and Uterine Pathology in Infertile Women.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.93.97
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.93.97