Background: Infertility, defined by the failure to achieve a clinical pregnancy after twelve months or more of regular unprotected sexual intercourse. infertility is an important health problem in the society .tubal pathology is one of the main causes of infertility.it is estimated to account for 12-33%.hysterosalpingography is a method used for screening purposes in the routine infertility eva...

introduction: chlamydia is an important cause of sexually transmitted diseases leading to tubal factor infertility. background: this study aims to define the role of chlamydial antibody detection in predicting presence, nature and type of tubal pathology in laparoscopy. materials and methods: a prospective study was conducted on 200 consecutive patients undergoing laparoscopy as a part of infer...

BACKGROUND The aim of tubal testing is to identify women with bilateral tubal pathology in a timely manner, so they can be treated with IVF or tubal surgery. At present, it is unclear for which women early tubal testing is indicated, and in whom it can be deferred. METHODS Data on 3716 women who underwent tubal patency testing as a part of their routine fertility workup were used to relate el...

BACKGROUND Chlamydia trachomatis infections have been associated with tubal pathology. However, not all C.trachomatis-infected women actually develop tubal pathology. Recently, host genetic factors such as the interleukin-1 gene cluster have been linked to inflammatory and infectious diseases. METHODS Dutch Caucasian women were investigated for (i) the role of interleukin-1B (IL-1B) and inter...

BACKGROUND Conventional meta-analysis has estimated the sensitivity and specificity of hysterosalpingography (HSG) to be 65% and 83%. The impact of patient characteristics on the accuracy of HSG is unknown. The aim of this study was to assess by individual patient data meta-analysis whether the accuracy of HSG is associated with different patient characteristics. METHODS We approached authors...

Background: Tubal pathology ranks among the most frequent causes of subfertility, next to ovulatory disorders and sperm defects .There fore , assessment of tubal patency is a fundamental part of infertility workup. Investigation for tubal disease can be divided into radiological tests: hysterosalpingography (HSG) , selective salpingography and hystero-contrast-sonography (HyCoSy) , microbiologi...

BACKGROUND Laparoscopy has been claimed to be superior to hysterosalpingography (HSG) in predicting fertility. Whether this conclusion is applicable to a general subfertile population can be questioned as data in support of this claim were collected in third line centres. The aim of this study was to assess the prognostic capacity of HSG and laparoscopy in a general subfertile population. MET...

BACKGROUND The Chlamydia IgG antibody test (CAT) shows considerable variations in reported estimates of test accuracy, partly because of the use of different assays and cut-off values. The aim of this study was to reassess the accuracy of CAT in diagnosing tubal pathology by individual patient data (IPD) meta-analysis for three different CAT assays. METHODS We approached authors of primary st...

Objectives. To evaluate the diagnostic performance of medical history in the diagnosis of tubal pathology among subfertile patients. Patients and Methods. Prospective cross-sectional study was performed. Prior to tubal evaluation, medical history data were collected. Sensitivity, specificity, and likelihood ratios (LRs) for predicting tubal pathology as determined by laparoscopy and dye test we...

BACKGROUND Pelvic infection, unsafe abortion and previous laparatomy are risk factors for tubal infertility among Nigerian women. Reports on the relationship between these factors and tubal pathology seen on hysterosalpingography (HSG) from our environment have been few. OBJECTIVE To assess the prevalence of tubal occlusions among patients referred for HSG and examine the association between ...