ROLE OF HYSTEROSALPINGOGRAPHY IN RECURRENT ABORTION FOR INVESTIGATION OF INTRAUTERINE PATHOLOGY

Background and Objective: To assess the diagnostic value of hys-terosalpingography (HSG) in the evaluation of the uterine cavity in recurrent aborters in comparison to hysteroscopy as the gold standard of diagnosis.
Methods: 58 reproductive age women, all with habitual abortion (3 con-secutive abortions), were examined by both HSG and hysteroscopy.
Results: The overall sensitivity and specificity of HSG was 18.75% and 82.2%, respectively. The false positive and false negative results of HSG were 17.8% and 81.25%, respectively, and the positive predictive value for HSG is, therefore, 37.5%.
Conclusion: Regarding very low sensitivity, specificity and high false-negative rates of HSG, it is concluded that it has low value in detection of uter-ine cavity abnormalities in habitual abortion and hysteroscopy should be used as the gold standard method for diagnosis in these patients.