Role of Transvaginal Sonography and Diagnostic Hysteroscopy in Evaluation of Endometrial Cavity in Infertile Women
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: Uterine cavity assessment is an integral part of a thorough infertility work up. The objectives of the study were to asses the diagnostic value of Tranvaginal sonography in comparison with hysteroscopy in the evaluation of endometrial cavity in infertile women and to evaluate wether Transvaginal sonography is an effective screening modality for intrauterine abnormalities Material and methods: In a prospective cohort study, 100 infertile women were included, and after taking informed consent and detailed history all participants underwent gynaecological examination, TVS and Hysteroscopy as part of routine infertility work up. Results: Hysteroscopy was considered the gold standard. With TVS, Endometrial Hyperplasia (n=14, 14%), submucous fibroids (n=13, 13%), endometrial polyps (n=27, 27%), adhesions (n=2, 2%), congenital anomalies (n=15, 15%) were detected. With Hysteroscopy endometrial hyperplasia (n=10, 10%), submucous fibroids (n=14, 14%), endometrial polyps (n=21, 21%), adhesions (n=4,4%), congenital anomalies (n=15, 15%) were detected. Conclusion: Transvaginal sonography has proved to be of immense value in the evaluation of infertile women because of its non invasive, cost effective and feasible nature. It is found to diagnose uterine abnormalities with a sensitivity of 97.07% and positive predictive value of 99.77% thus can be considered as an initial investigation in the infertility work up.
Authors and Affiliations
K. Sarala, Kanak Misra
Keywords
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