A COMPARISON OF HYSTEROSCOPY AND HYSTEROSALPINGOGRAPHY

Objective: The aim of this study was to assess the diagnostic reliabil ity of hysteroscopy (HSC) and hysterosalpingography (HSG) in patients suffering from primary and secondary infertility. Method: Seventy wome n (50 with primary and 20 with secondary infertility) undergoing HSC a nd HSG were prospectively studied and the diagnostic capacity of the t wo techniques was compared. Results: HSG proved to have a sensitivity of 79.1% and a specificity of 81.8%, with an 18.1% false-positive rate and a 18.9% false-negative rate. Conclusion: HSG is of exclusive impo rtance in the assessment of tubal morphology and function and has a se condary and complementary role to HSC in the inspection of the uterine cavity and tubal ostia.