Can hysteroscopy be substituted to hysterosalpingography in the assessment of infertility? Methods of showing tubal transition as hysteroscopic

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dc.contributor.authorYanar, Buket Aydin
dc.contributor.authorPek, Eren
dc.contributor.authorUnsal, Mesut A.
dc.date.accessioned2025-01-27T20:24:50Z
dc.date.available2025-01-27T20:24:50Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: The main goal of this study was to prove that hysteroscopy is a superior method compared to hysterosalpingography in the evaluation of tubal passage and the uterine cavity in infertile women. Methods: The study was carried out on 30 volunteer women for whom evaluation of the uterine cavity and transit through the tubules was required due to infertility. In the evaluation of the hysteroscopic tubal passage, a 6Fr feeding cannula was advanced from the hysteroscope barrel, and firstly methylene blue and then an air bubble were applied to the fluid-filled uterine cavity through this flexible cannula. Results: When the reference method was taken as hysterosalpingography, the specificity of hysteroscopy was found to be 85.71% (95% CI (confidence interval): 42.13% 99.64%), sensitivity 94.74% (95% CI: 85.38-98.90%). The positive predictive value of hysteroscopy was calculated as 98.18% (95% CI: 89.78%-99.70%) and the negative predictive value was 66.67% (95% CI: 38.96%-86.24%). Observing the bubble and swirl effect together in the evaluation of the tube opening increases the diagnostic accuracy. And benefit of hysteroscopy in the evaluation of tubal passage was statistically significantly higher than hysterosalpingography. Conclusion: Considering the cellular damages that can be caused by hysterosalpingraphy and the real observation power provided by hysteroscopy, simultaneous evaluation and the comfort of making intervention possible, hysteroscopy will be a more useful and useful application.
dc.identifier.doi10.31083/j.ceog4901014
dc.identifier.issn0390-6663
dc.identifier.issn2709-0094
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85124812617
dc.identifier.scopusqualityQ4
dc.identifier.urihttps://doi.org/10.31083/j.ceog4901014
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22360
dc.identifier.volume49
dc.identifier.wosWOS:000778812100014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherImr Press
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectHysteroscopy
dc.subjectHysterosalpingography
dc.subjectShawki-bubble test
dc.subjectMethylene blue test
dc.subjectTubal passage
dc.titleCan hysteroscopy be substituted to hysterosalpingography in the assessment of infertility? Methods of showing tubal transition as hysteroscopic
dc.typeArticle

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