SONOHYSTEROGRAPHY VERSUS LAPAROSCOPIC CHROMOPERTUBATION FOR THE ASSESSMENT OF TUBAL PATENCY IN INFERTILE WOMEN.

Objectives:- .In this study, our goal was to determine the diagnostic value of SHG for the diagnosis of tubal obstruction by comparison of SHG and laparoscopic results. Methods:- This study was based on the assessment of tubal patency by SHG and by the laparoscopy in 50 patients. All patients underwent HSG as a routine infertility workup, SHG was performed then laparoscopy was done subsequently. Results:-patients with HSG findings are21of fallopian tube occluded(42.0%) and 29 patent(58.0%). Fifty patients underwent SHG. In 34 patients (68%), at least 1 fallopian tube was patent, and 6 patients (12%) were reported to have bilateral tubal obstruction. All 50 patient underwent laparoscopic evaluation its finding is 32of fallopian tube are patent(64%) and 18 of fallopian tube are blocked( 36%) 7of patient of bilateral block and1of unilateral block Conclusions:- Sonohysterography is not an accurate method for the determination of fallopian tube patency .but It is a simple, safe, and well-tolerated technique with a low risk of adverse effects and severe complications .laparoscopy is an accurate method for the assessment of fallopian tube patency.