Predictive value of sonohysterography in the assessment of uterine cavity in patients with uterine defects: a comparative study | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 5, Volume 14, Issue 1 - Serial Number 11106352, January 2011, Pages 21-25 PDF (1.61 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2011.254866 | ||
| Author | ||
| Ayman Nady Abdelmeged* | ||
| Department of Obstetrics and Gynecology and Minia Infertility Research Unit, Minia University, Egypt. | ||
| Abstract | ||
| Objective: To compare between hysterosalpingorame, transvaginal Ultrasound, sonohysterography and hysteroscopy for assessment of uterine factor in sub fertile women. Patients and methods: in a prospective comparative study a hundred of age-matched women with a history of sub fertility (primary or secondary) were recruited. For all women hysterosalpingorame, transvaginal ultrasound, sonohysterograghy and hysteroscopy were done. Results: Of the study group hysteroscopy diagnosed 70% as normal findings and 30% had uterine abnormalities that include endometrial polyps (9%), uterine anomaly (11%) and submucous myoma (10%) . while sonohysterograghy revealed 27 uterine abnormalities with an overall sensitivity, specificity and negative predictive value of 90%, 100%, and 95.8% respectively. Hysterosalpingography diagnosed 21 uterine abnormalities with an overall sensitivity, specificity and negative predictive value of 70%, 100% & 88.6% respectively. While transvaginal ultrasound examination revealed 89 cases of normal findings, and diagnosed 11 uterine abnormalities with an overall sensitivity, specificity and negative predictive value of 36.6%,100%,95.8% respectively. Conclusion: Sonohysterograghy is an easier, less expensive, safer and better tolerated alternative to diagnostic hysteroscopy for patients with uterine filling defects noted on HSG. It is highly sensitive and specific as high as the hysteroscopy. It can be used as a preliminary test for screening the patients who are candidate for operative hysteroscopy as normal sonohysterographic examination will not need further evaluation by office hysteroscopy. | ||
| Keywords | ||
| Sub fertility; uterine factor; sonohysterography; hysteroscopy | ||
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