Are the results of concurrent hysterosalpingography and hysteroscopy similar for detecting uterine pathologies?

Abstract

Background and Aim: Hysterosalpingography is usually preferred for evaluation of tubal patency however it is also a helpful technique for detection of uterine pathologies. There is very limited data about the sensitivity of hysterosalpingography for evaluation of uterine cavity diseases. Therefore the aim of our study is to evaluate the sensitivity of hsyterosalpingography for uterine pathologies.

Materials and Methods: The records of infertile patients who applied to Izmir Medicalpark hospital between November 2017 and September 2018 were retrospectively evaluated. Data of patients who had hysterosalpingography and hysteroscopy on the same day were investigated. The clinical characteristics (age, duration of infertility, cause of infertility, type of infertility) of these patients were evaluated. The results of hysterosalpingography and hysteroscopy were compared for uterine pathologies.

Results: A total of 114 patients were included in the study. When the correlation between HSG and hysteroscopy was evaluated, there were similar results in 71 (62.3%) and different results in 43 (37.7%) patients. Extra uterine pathology was detected in 32 patients whose HSG was evaluated as normal. Negative predictive value of HSG was 44% (32/72) for uterine pathologies. Endometrial polyp was detected in 36 patients during hysteroscopy however the number of patients with initial diagnosis of endometrial polyp was 12. The sensitivity of hysteroscopy for endometrial polyps was 37.5% (12/36).

Conclusion: The sensitivity of HSG which was applied concurrently with hysteroscopy is low for uterine pathologies. However it might be beneficial in daily clinical practice for evaluating and treating tubal and uterine pathologies at the same time