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.

Retrieved from: www.dallasivf.com

Saline Sonogram

Laparoscopic Procedure

Previous Topic
Back to Lesson
Next Lesson