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254866

Predictive value of sonohysterography in the assessment of uterine cavity in patients with uterine defects: a comparative study

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Last updated: 03 Jan 2025

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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.

DOI

10.21608/egyfs.2011.254866

Keywords

Sub fertility, uterine factor, sonohysterography, Hysteroscopy

Authors

First Name

Ayman

Last Name

Abdelmeged

MiddleName

Nady

Affiliation

Department of Obstetrics and Gynecology and Minia Infertility Research Unit, Minia University, Egypt.

Email

elnadyayman7074@yahoo.com

City

-

Orcid

-

Volume

14

Article Issue

1

Related Issue

36195

Issue Date

2011-01-01

Receive Date

2022-08-15

Publish Date

2011-01-01

Page Start

21

Page End

25

Print ISSN

1110-6352

Online ISSN

2536-9768

Article File

EGYFS_Volume 14_Issue 1_Pages 21-25.pdf

PDF . 1.7MB

Link

https://egyfs.journals.ekb.eg/article_254866.html

Detail API

https://egyfs.journals.ekb.eg/service?article_code=254866

Order

5

Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Predictive value of sonohysterography in the assessment of uterine cavity in patients with uterine defects: a comparative study

Details

Type

Article

Created At

22 Jan 2023