Tubal and peritoneal alterations diagnosed by hysterosalpingography

In the evaluation of the multiple causes that contribute to infertility tubal and peritoneal factors are responsible for 25-40% of cases. Hysterosalpingography is the most reliable method in the evaluation of tubal morphology and patency, although it presents a lower sensibility in the assessment of pelvic adhesions. The purpose of this review is to describe the most frequent tubal and peritoneal abnormalities found in hysterosalpingography. We have reviewed the hysterosalpingography performed at our institution between January 1988 until December 1999 in patients undergoing evaluation for infertility, and the most representative images of the different pathologic entities have been chosen. (Author) 7 refs