Pregnancy during the hysterogram cycle.

Because of potential mutagenic effects of radiation on the soon-to-be fertilized ovum, we questioned whether we should advise against conception during the cycle in which a hysterosalpingogram is performed. Our results do not suggest any increase in the incidence of spontaneous abortion or congenital anomalies in these patients. Therefore, we see no need to advise against conception during the cycle in which a hysterosalpingogram is performed.

Laparoscopy and the infertility evaluation.

Results of laparoscopic evaluation of 112 infertile women are presented. Laparoscopy performed prior to comtemplated fallopian tube reconstructive surgery changed the plan of management of 41% of 44 cases. Of 64 women with a normal hysterogram, 58% were found to have evidence of pelvic disease, and 47% had changes in their management based on the findings at laparoscopy.