[Evaluation of 500 hysterosalpingograms with special reference to tubal sterility]

457 hysterosalpingograms out of 500 could be analysed which were made from sterility patients of the women's clinic, Wilhelm-Pieck-University Rostock, in the period from 1973 to 1980. A normal uterine cavity was found in 395 cases (86.7%), having a tubal patency on both sides (54%). In 8.7% of the cases only the right tube and in 11% only the left tube was patent for contrast medium. In 48 cases there was a tubal occlusion on either side. Uterus arcuatus was diagnosed in 7%, uterus bicornis in 4% and uterus duplex as well as uterine fibromyoma in 0.5% of the cases. Intracavitary processes were evident only in 6 patients. Abnormal long tubes could be found in 79 cases, tubes in high positions in 87 cases, and rigid and very short tubes in 95 cases. In 176 cases a sactosalpinx could be diagnosed. Ampullar tubal occlusion at one side was observed in 105 cases, and the same one in 49 cases on both sides. Following the hysterosalpingography 71 from a total of 122 pregnancies occurred within a period of 6 months, without any additional treatment being carried out in 32 patients.