Assessment of Uterine Factor in Infertile Women : Hysterosalpingography vs Hysteroscopy.

The objective of this study was to evaluate the diagnostic accuracy of hystero-salpingography (HSG) in detecting uterine cavity abnormalities in infertile patients, with reference to hysteroscopy as the gold standard method. 60 infertile women were investigated with both HSG and hysteroscopy. Statistical analysis was performed. As a test for the detection of uterine cavity abnormalities, HSG in comparison with hysteroscopy had 60% sensitivity, 90% specificity, 10% false positive value and 40% false negative value. HSG is not able to diagnose polyps, septum and submucous fibroids with significant accuracy. Therefore hysteroscopy is indicated for confirmation.