Tests for tubal patency

• HSG (hysterosalpingography)

Hysterosalpingography also called uterosalpingography, is a basic, low-cost and a helpful step in evaluation of tubal patency and uterine abnormalities. A contrast medium ( dye) is injected into the uterus and serial x-ray films are taken to produce pictures of the inside of the uterus and tubes. X-rays are the oldest and most frequently used form of medical imaging.

This test is typically done between day 7 to day 11 of the menstrual cycle once the menstrual bleeding stops.

For who? – couples with unexplained infertility, suspected pelvic disease like chronic pelvic infections, endometriosis, tuberculosis, uterine fibroids, polyps, tumors, hydrosalphynx , intrauterine adhesions etc.

This is routinely done as a basic evaluation of couples with difficulty conceiving in-spite of having a normal semen parameters and ovulatory cycles.

SSG (sonosalpingography)

Sonosalpingography is an ultrasound guided procedure used for evaluating patency of fallopian tubes and to detect abnormalities of uterine cavity. Sterile normal saline is introduced into the uterine cavity with the help of a catheter .By visualizing the flow of saline through the uterine cavity and along the tubes with the help of an ultrasound scan , one can identify conditions like uterine fibroids, polyps, developmental abnormalities of uterus ,intrauterine adhesions, tubal block , tubal disease, hydrosalphynx etc.

For who?, suspected pelvic disease like chronic pelvic infections, endometriosis, tuberculosis, uterine fibroids, polyps, tumours, hydrosalpinx , intrauterine adhesions etc.

– couples with unexplained infertility

laparohysteroscopy

Chromopertubation, or instilling dye through the fallopian tubes to assess tubal patency, is a common part of laparoscopy performed for diagnostic or therapeutic purposes in women with infertility.  This procedure provides accurate assessment of tubal patency by allowing direct visualization thus gives precise diagnosis.

For who? – Suspected tubal block on HSG OR SSG , suspected tubal disease like hydrosalpinx on ultrasound scan , HSG OR SSG.