The Role of Diagnostic Hysteroscopy in the Evaluation of Fallopian Tube Patency: a Short Review

• Published in: Geburtshilfe und Frauenheilkunde Vol. 79; no. 5; pp. 483 - 486
• Main Authors: Hager, Marlene, Simek, Inga Malin, Promberger, Regina, Ott, Johannes
• Format: Journal Article
• Language: English
• Published: Stuttgart · New York Georg Thieme Verlag KG 01-05-2019
• Subjects: GebFra Science; office hysteroscopy; bildgebende Verfahren zur Bewertung des Tubenstatus; imaging tubal status; uterine diagnosis; Eileiterpathologie; selektive Chromopertubation der Eileiter; Diagnostik der Gebärmutter; ambulante Hysteroskopie; tubal pathology; selective Fallopian tube perturbation
• ISSN: 0016-5751; 1438-8804
• DOI: 10.1055/a-0826-1326

Abstract
The relevance of diagnostic hysteroscopy, especially when performed in an outpatient “office” setting, in the evaluation process of infertility has increased within the last few years. Notably, several articles on a possible role for diagnostic hysteroscopy in the assessment of Fallopian tube patency have been published recently. Three relevant articles were identified. Visualizing a “flow effect” or air bubbles dispersing through the ostia, sonographically assessed shifts in cul de sac volume, and selective Fallopian tubal cannulation are reportedly promising hysteroscopic techniques. In this review, an overview of hysteroscopy, details about diagnostic reliability, and considerations with regard to ease of use and difficulties are summarized. Based on these articles, hysteroscopic evaluation of tubal patency seems to be a promising, clinically relevant field for future clinical research.