The Diagnostic Properties of Medical History in the Diagnosis of Tubal Pathology among Subfertile Patients. (22nd January 2012)

• Record Type: Journal Article
• Authors: Tvarijonaviciene, Egle; Nadisauskiene, Ruta Jolanta; Jariene, Kristina; Kruminis, Valdemaras
• Other Names: Schust D. Academic Editor.
• Is Part Of: ISRN obstetrics and gynecology. Volume 2012(2012)
• Publication Date: 2012-01-22
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Pregnancy Complications; Genital Diseases, Female; Gynecology; Obstetrics; Electronic journals; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; 618.2
• DOI: 10.5402/2012/436930
• Languages: English
• ISSNs: 2090-4436

Abstract

Abstract : 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 were calculated for each issue of medical history. Results . 39.6 % (59/149) were diagnosed with tubal pathology. The sensitivity for the different issues ranged between 1.7 and 54.2% and the specificity between 75.6 and 97.8%. The estimated highest value of positive LR is attributed to the history of ectopic pregnancy and lowest of negative LR to pelvic inflammatory disease (PID) and abdominal surgery. Conclusion . The positive history of PID, sexually transmitted diseases (STDs), abdominal and laparoscopic surgery, and ectopic pregnancy are satisfactory screening tests for ruling the tubal pathology in. The negative history of evaluated issues is inappropriate for ruling the tubal damage out.