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Colour-coded duplex sonography for the assessment of fallopian tube patency
1Lokmanya Tilak Municipal Medical College & General Hospital, Wadala, Bombay, India.
Annals of the Academy of Medicine, Singapore
|January 1, 1994
Summary
Colour-coded duplex sonography (CCDS) effectively screens for tubal patency in infertile women, showing 92.5% agreement with traditional methods. This ultrasound technique is a valuable addition to infertility diagnostics.
Area of Science:
- Reproductive Medicine
- Diagnostic Imaging
- Gynecology
Background:
- Infertility affects a significant portion of the population.
- Accurate assessment of tubal patency is crucial for diagnosing infertility.
- Conventional methods like hysterosalpingogram (HSG) and laparoscopy have limitations.
Purpose of the Study:
- To evaluate the efficacy of colour-coded duplex sonography (CCDS) for assessing tubal patency.
- To compare CCDS results with conventional methods (HSG and laparoscopy).
- To explore CCDS as a potential screening tool for infertility investigations.
Main Methods:
- Studied 53 infertile women using colour-coded duplex sonography (CCDS).
- Utilized both transabdominal (2.5 MHz) and vaginal (5.0 MHz) transducers.
- Compared CCDS findings with hysterosalpingogram (HSG) and laparoscopic chromopertubation.
Main Results:
- CCDS demonstrated 92.5% agreement with HSG and laparoscopy regarding tubal patency or occlusion.
- CCDS visualized soft tissues and their mobility.
- Vaginal CCDS provided better resolution and required less saline, even with anatomical complications.
Conclusions:
- CCDS is a reliable screening technique for evaluating tubal patency in infertile women.
- The method offers advantages in visualization and saline usage compared to some traditional tests.
- CCDS complements, rather than replaces, established infertility investigation methods.