Abstract

STOISA, Daniela; LUCENA, M.E.  and  VILLAVICENCIO, R.L.. Utility of the histerosalpingography in infertility. Rev. argent. radiol. [online]. 2008, vol.72, n.2, pp.169-176. ISSN 1852-9992.

Purpose: To show our experience related to the actual state of the hysterosalpingography including techniques and findings that compromise the uterus and the Fallopian tubes. Material and Methods: We have studied 256 patients from July 2004 till May 2007 with a media of 32.3 years of age, between the days 7 and 10 of the menstrual cycle. We have used an speculum, cleaned the vaginal cavity and after uterus fixation, the contrast material have been introduced through a Rubistein canula with a plastic olive. We have obtained radiographs in different positions such as partial and full filled endometrial cavity, both oblique incidences and post Cotte test. Results: In 7 cases we couldn´t perform the study because of tiny external cervical orifice. In the rest of the patients the findings have been classified in normal, uterine filling defects, adenomyosis, müllerian anomalies, hydrosalpinx, tubal spasm, tubal obstruction, positive or uni o bilateral negative Cotte test, and peritoneal or anexial masses suspicion. Conclusion: The HSG is the elective study for the study of the Fallopian tube and have great utility to evaluate the endometrial cavity. We have observed an increase in the number of patients that go through this study related to the development of new therapeutical strategies (medical or surgical) for the treatment of infertility.

Keywords : Hysterosalpingography; Fallopian tubes; Uterus; Infertility.

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