INCIDENCE OF THERAPEUTIC OPENING OF FALLOPIAN TUBES DURING HYSTEROSALPINGOGRAPHY

Authors

  • Mohammad Shahnawaz
  • Mohammad Ibrahim

Abstract

A study of 20 married primarily infertile female patients, aged 22-30 years, without any other constitutionaldisease and with husbands having normal sperm counts, to determine the incidence of therapeutic openingof the fallopian tubes during hysterosalpingography. Hysterosalpingography was performed using watersoluble contrast medium with an improved method of upto 3 consecutive injections during a singleexamination. In these patient’s fallopian tubes opened up on repeated injections of 10-20 ml of contrastmedium. 20 patients were followed-up to monitor the incidence of conception. 25% conceived within the firstthree months of the procedure. 10% conceived in six months’ time. 35% of these started other medications,hence were excluded from the study. In 30% opening of the fallopian failed to yield any benefit. Study bringsto light the therapeutic advantages of hysterosalpingography in addition to its known diagnostic value.KEY WORDS: Hysterosalpingography, Primary infertility, Radiology of female genital tract

References

Barnett E. The clinical value of hysterosalpingography.

JFR, 56a. 1955, 7, 115-129.

Foda MS. et al. Hysterography in diagnosis of

abnormalities of uterus. BJR, 1962, 35, 783-792.

Noreen & Chesney M. Care of the patient in diagnostic

radiography. 5th Edn, 1978, 10, 56 - 158.

Spring DB & Barken HE. Potential therapeutic effect of

oil-soluble contrast media in hysterosalpingography.

Fayez JA, Mutie G & Schneider PJ. The diagnostic value

of hysterosalpingography and laparoscopy in infertility

investigation. Int. J. Fertil. Mar-Apr 1988, 33(2): 98-101.

Confino E, Friberg J & Gleicher N. Spontaneous

recanalization of cornual tubal occlusion following a

pregnancy achieved by IVF. Ferti. Steril. Apr

,49(4): 723-5

De Boer A, Vemer HM, Willemsen WN & Sanders FB.

Oil or aqueous contrast media for

hysterosalpingography: a prospective randomised,

clinical study. Eur. J. Obstet-Gynecol. May, 1988

(l):65-8.

Thurmond AS, Novy M & Rosch J. Terbutaline in

diagnosis of interstitial fallopian obstruction. Invest

Radiolo. Mar 1988, 23(3): 209-10.

Wolf D & Spataro RF. Current state of

hysterosalpingography Radiographic. Nov 1988 8(6):

-58.