Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Agreement between hysterosalpingography and laparoscopic chromopertubation in assessment of tubal patency
Background: To assess the agreement between tubal patency assessed by laparoscopy with chromopertubation and by hystero-salpingography using contrast media. Setting: University Medical School. Patients: 314 consecutive women subjected to laparoscopy and hysterosalpingography for an infertility study. Design: Prospective study. Methods: Chromopertubation using Methylen blue dye, performed on days 20-24. Hysterosalpingography performed on days 7-10 with water soluble contrast. Main outcome measure: Kappa coefficient calculation.Results: Kappa coefficient ranged from 0.40 to 0.36, depending on the categories analyzed, corresponding to a fair agreement. Conclusion: The diagnosis of tubal factor requires that both tubal patency tests (Hysterosalpingography and laparoscopy) show an abnormal patency. When one of the aforementioned tests is normal, performing the second one has little clinical advantage. However, it is suggested that when there is a discordant patency the pregnancy rates could be somewhat reduced.