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Tubal Patency Test

  • Tubal disease can account for 25-35 % of female factor infertility.
  • Tubal patency test is done to check if fallopian tubes are open.
  • It can be done if couple have fair chance of pregnancy by natural sexual intercourse or by intra uterine insemination ( IUI )
  • Basic procedure in all types of tubal patency test involves pushing a liquid into uterocervical canal & checking if it is coming out through fallopian tubes into peritoneal cavity.

There are 3 main type of tubal patency tests-

  • Hystero -salpingography(HSG): A radio opaque dye is pushed into uterine cavity & its flow is visualized using X ray.
  • Sono -Salpingography (SSG): Here pre medicated normal saline is pushed into uterine cavity & its flow is visualized using ultrasonography.
  • Laparoscopy with chromopertubation: It is done under general anaesthesia. A liquid dye is pushed into uterine cavity & its flow is directly seen by doing laparoscopy.

The advantage laparoscopy of is that any corrective surgery can be done during same procedure.

  • History of tubal ectopic pregnancy
  • History of pelvic infections or pelvic inflammatory disease.
  • History of pelvic or lower abdominal surgery.
  • Endometriosis

Pregnancy chances depend upon various complex factors like

  • Age of woman
  • Ovarian reserve
  • Duration of infertility
  • Whether block is in proximal (uterine end) or distal (ovarian end) part of tube
  • The quality of sperm
  • Experience of surgeon if any corrective surgery is planned.

Hope this was helpful for basic understanding.

The aim of this discussion is to make anyone with curious mind to understand these condition better. It is not equivalent to detailed in person individualised consultation.

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