Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012, Article ID 436930, 8 pages
http://dx.doi.org/10.5402/2012/436930
Research Article

The Diagnostic Properties of Medical History in the Diagnosis of Tubal Pathology among Subfertile Patients

Department of Obstetrics and Gynecology, Lithuanian University of Health Sciences, Eiveniu 2, 50009 Kaunas, Lithuania

Received 19 September 2011; Accepted 13 October 2011

Academic Editor: D. Schust

Copyright © 2012 Egle Tvarijonaviciene et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.