Role of Saline Infusion Sonohysterography (SIS) In Infertility Evaluation
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 8
Abstract
Introduction : Etiology of Infertility is multifactorial and fallopian tube abnormalities being one of the most important cause accounts for up to 40% of female sub fertility if not less and is further increasing. Saline infusion sonohysterography (SIS) procedure is gaining popularity and is being widely practiced and accepted as a screening tool in assessing tubal patency in infertile patients attending infertility clinic and has become popular as a routine test for the evaluation of the uterine cavity in the investigation of infertility and abnormal uterine bleeding. Objective: To compare the results of SIS with that of Hysterosalpingography (HSG) in infertility evaluation and to observe the role of SIS to find out endometrial pathology and tubal patency in infertility patients. Study Methodology: Retrospective Observational study was done on the basis of record maintained in Ultrasound register and case record sheet of all infertile women who underwent infertility treatment and fulfilled the inclusion criteria from June 2015 to August 2016. Results: SIS had sensitivity of 91 % specificity 76% PPV 95% NPV 66% and accuracy of 89% of SIS in evaluating tubal patency. Also SIS showed sensitivity of 83.3 % specificity 60% PPV 75% NPV 75% and accuracy of 72% in detecting pelvic pathology. Conclusion:. In a low resource country like India where patients are also less educated SIS can prove to be a useful tool in initial workup of infertility patients with better compliance, less cost and better results in a single visit.
Authors and Affiliations
Dr Vinita Singh
Keywords
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