International Journal of Infertility & Fetal Medicine

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VOLUME 4 , ISSUE 3 ( September-December, 2013 ) > List of Articles


Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup

Vani Malhotra, Meenakshi Barsaul Chauhan, Pinkey Lakra, Roopa Sangwan

Citation Information : Malhotra V, Chauhan MB, Lakra P, Sangwan R. Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup. Int J Infertil Fetal Med 2013; 4 (3):79-82.

DOI: 10.5005/jp-journals-10016-1066

License: CC BY-NC 4.0

Published Online: 01-04-2016

Copyright Statement:  Copyright © 2013; The Author(s).



Uterine pathologies are the cause of infertility in 15% of infertile couples and their correction is associated with improved pregnancy rates. This prospective study was carried out to compare hysterosalpingography (HSG) with hysteroscopy (HSC) in evaluation of uterine pathology.

Study design

The research was approved by the institutional review board. A total of 100 infertile women were included in the study. HSC and HSG were performed in the follicular phase and the findings were compared. Student's t test and chi-square test were applied wherever applicable. Degree of agreement between the two procedures was calculated using kappa estimates.


Thirteen percent of the women had abnormal HSG regarding the uterine cavity while 20% had abnormal HSC findings (chi-square value 1.77, p > 0.05). Out of 10% women who had normal HSG, some abnormality was found on HSC. Similarly 3% women with abnormal HSG had normal findings on HSC. Sensitivity of HSG in detecting uterine cavity abnormality was 50% and specificity 98.1%. Positive predictive value was 76.9% and negative predictive value was 88.5%. Result of HSG was false-negative in 10% of women and false-positive in 3%.


Hysteroscopy should be considered essential while investigating infertile women., Since HSG provides valuables information about tubes, it may supplement the hysteroscopic assessment.

How to cite this article

Chauhan MB, Lakra P, Sangwan R, Nanda S, Malhotra V. Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup. Int J Infertility Fetal Med 2013;4(3):79-82.

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