Ovarian Reserve Testing

HSG

• This is the standard method for evaluating tubal patency
  • May offer a therapeutic benefit
  • Tubal obstruction vs tubal/uterine contractions
• Low sensitivity for uterine abnormalities
  • 50-75% sensitivity
• Also can’t differentiate between some uterine abnormalities
  • i.e. septate vs bicornuate uterus.
• Laparoscopy with chromotubation (cervical injection of blue dye) can also demonstrate tubal patency
  • Can correct abnormal findings during procedure
• Tx with antibiotics (doxy 100 mg BID for 5 days starting 1-2 days prior to HSG) when tubal disease suspected, to decrease risk of acute salpingitis.

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Saline Sonogram

Laparoscopic Procedure