Color Doppler hysterosalpingography in the diagnosis of tubal patency

Objective: To assess tubal patency by color Doppler hysterosalpingography (HSG). Design: Comparative study of color Doppler HSG with roentgenogram HSG and chromolaparoscopy in infertile women of childbearing age. Setting: Clinical environment. Patients: Sixty female patients (22 to 39 years) with long-lasting infertility problems. Intervention: Sterile saline was transcervically injected into the uterine cavity through a catheter and color Doppler HSG was performed. All the patients were submitted to roentgenogram HSG and chromolaparoscopy. Main Outcome Measures: The diagnostic efficacy of color Doppler HSG and its concordance with ''gold standard'' chromolaparoscopy were analyzed. Results: Correlation between color Doppler HSG and roentgenogram HSG with chromolaparoscopy occurred in 86% versus 93% of all women studied. Conclusions: Color Doppler HSG with its accuracy and safety results a promising alternative technique to roentgenogram HSG in diagnosing tubal status in infertile patients.