Color Doppler hysterosalpingography in the diagnosis of tubal patency.

OBJECTIVE

To assess tubal patency by color Doppler hysterosalpingography (HSG).

DESIGN

Comparative study of color Doppler HSG with roentgenogram HSG and chromolaparoscopy in infertile women of childbearing age.

SETTING

Clinical environment.

PATIENTS: Sixty female patients (22 to 39 years) with long-lasting infertility problems.

INTERVENTION: Sterile saline was transcervically injected into the uterine cavity through a catheter and color Doppler HSG was performed. All the patients were submitted to roentgenogram HSG and chromolaparoscopy.

MAIN OUTCOME MEASURES: The diagnostic efficacy of color Doppler HSG and its concordance with "gold standard" chromolaparoscopy were analyzed.

RESULTS

Correlation between color Doppler HSG and roentgenogram HSG with chromolaparoscopy occurred in 86% versus 93% of all women studied.

CONCLUSIONS

Color Doppler HSG with its accuracy and safety results a promising alternative technique to roentgenogram HSG in diagnosing tubal status in infertile patients.