Role of 3 Dimensional Sonohysteroscopy in Infertlity Workup
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
Introduction : Infertility is defined by WHO(1975) as “ inability to conceive after 12 months or more of regular unprotected intercourse by a couple in reproductive age group”. It is classified as primary and secondary infertility with tubal and peritoneal pathology comprising 30-40%. Here, the aim of our study was to evaluate the diagnostic role of 3 dimensional sonohysterography for detection of intrauterine, extrauterine lesions and tubal pathology and to compare it to diagnostic hysterolaparoscopy. Materials And Methods: Hospital based prospective, descriptive study conducted on 50 patients of infertility with normal pelvic manual examination and normal transvaginal sonoraphy done between march 2012 to august 2013 in the Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan . Results: Majority of cases i.e.31(62%) were of primary infertility and 19 (38%) were of secondary infertility with mean age of cases 26.58±4.19 years and mean duration of infertility was 4.33±3.66 years. Out of 31 cases of primary infertility,3-dimensional sonosalpingography revealed bilateral tubal patency in 28(90.32%) cases and blockage either unilateral or bilateral in 3(9.68%) cases. Out of 19 cases of secondary infertility, bilateral patency seen in 14 (73.70%) cases and block in 5 (26.32%) cases while laparoscopy showed patency in 41cases and blockage in 7 cases. Conclusion: 3-Dimensional sonohysterography can replace hysterolaparoscopy as a preliminary diagnostic tool in infertility workup, being cost effective and noninvasive.
Authors and Affiliations
Dr. Amrita Chaturvedi
Keywords
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