Unilateral and bilateral tubal obstruction in female infertility: Comparison study between Hysterosalpingography and laparoscopy.

Abstract

Unilateral and bilateral tubal obstruction in female infertility where studied on 60 women in the aim of comparing hysterosalpingography and laparoscopy results. The participants average age was 29.67 + 6.78, with infertility duration between 1-11 years. The results showed that the  primary infertility percentage decreased with the increase in the age group, reaching 63.16%, 48.15%, 28.57% for the three groups 15-25, 26-35 and 36-45 respectively, while the percentage of secondary infertility increased with the advancing age groups, reaching 36.84 %, 51.85%, and 71.43% for groups 15-25, 26-35, 36-45, respectively. The Hysterosalpingography showed bilateral tubal obstruction in 11 patients (18.33%) and unilateral tubal obstruction in 8 patients (13.33%), while laparoscopy showed bilateral and unilateral tubal obstruction in 8 patients (13.33%) and 9 patients (15%), respectively. The diagnostic values of hysterosalpingography compared to laparoscopy were 87.5, 92.3, 63.64, 97.96, 7.7 and 12.5(%) for each of the sensitivity, specificity, positive predictive value, negative predictive value, false positive rate and false negative rate, respectively, when studying the bilateral tubal obstruction, while the diagnostic values were 55.56, 94.12, 62.5, 92.3, 5.88 and 44.44 (%) for each of the sensitivity, specificity, positive predictive value, negative predictive value, false positivity rate, and false negative rate, respectively, when studying the unilateral tubal obstruction, These diagnostic values were 70.59, 83.72, 63.16, 87.81, 16.28 and 29.41 (%) for each of the sensitivity, specificity, positive predictive value, negative predictive value, false positivity rate and false negative rate, respectively, when Unilateral and bilateral tubal obstruction were studied together. The potential value of the hysterosalpingography results compared to laparoscopy were > 0.05 when studying the unilateral tubal obstruction, the bilateral tubal obstruction and the unilateral and bilateral tubal obstruction together, meaning it was insignificant.