TUBAL PATENCY STUDIED BY ULTRASONOGRAPHY - A PILOT-STUDY

Transvaginal hysterosalpingoultrasonography (HSUG) was performed using a uterine cannula and Ringer's solution (Kabi Baxter) as a contrast a gent in 14 women consulting for infertility. The results were compared with those of chromopertubation at laparoscopy/laparotomy. With HSUG, the uterine cavity was always well visualized, though it was more dif ficult to evaluate tubal status. As compared with those of the other m ethods, HSUG findings manifested total agreement in 50% of cases, tota l disagreement in 22%, and partial agreement in the remaining 28%. The method was well tolerated by the women studied, and six out of nine w omen who had previously undergone hysterosalpingography (HSG) found HS UG to cause less discomfort. Thus, the findings suggest that HSUG migh t prove useful as a means of ascertaining tubal status at an early sta ge in infertility evaluations.