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The choice between Hysterosalpingography (HSG) and laparoscopy for assessing tubal patency depends on various factors, including the patient's medical history, symptoms, and the information needed for diagnosis. Hysterosalpingography (HSG): 👉HSG is often considered the initial diagnostic test for assessing tubal patency in cases of infertility. 👉HSG is a less invasive procedure and may be recommended as the first step for individuals who haven't undergone previous pelvic surgery. 👉If there are no known pelvic conditions or symptoms suggesting issues beyond tubal patency, HSG may be sufficient. 👉HSG provides a limited view and may not detect conditions outside the fallopian tubes, such as pelvic adhesions or endometriosis. Laparoscopy: 👉If a patient has a history of pelvic surgery, conditions like endometriosis, or if there are concerns beyond tubal patency, laparoscopy may be preferred. 👉Laparoscopy may be recommended for individuals with pelvic pain or suspected pelvic abnormalities, as it allows for direct visualization of the reproductive organs. 👉Laparoscopy is more invasive than HSG, so it is typically reserved for cases where more comprehensive information is needed. The decision on which procedure to choose is highly individualized and should be made through consultation with a healthcare provider.