Hysterosalpingography versus chromosalpingolaparoscopy: comparison of results in 174 patients with sterility problems

The comparison of results of hysterosalpingography and chromosalpingolaparoscopy to which 174 patients with sterility problems were subjected confirmed that chromosalpingolaparoscopy is an altogether more accurate and reliable test than hysterosalpingography. However, it also showed that chromosalpingolaparoscopy can give false positives in the study of tubal accessibility. The Authors consider hysterosalpingography a fundamental test when studying sterile women, since it is the only examination enabling the observation of tubal passages and also because it is able to show the above-mentioned possible false positives of chromosalpingolaparoscopy. In agreement with most experts in gynecological endoscopy, the Authors consider hysterosalpingography and chromosalpingolaparoscopy two complementary examinations when studying the uterotubal approach while chromosalpingolaparoscopy is a balance test to be used, with rare exceptions, at the end of the diagnostic iter.