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Related Experiment Videos

Screening sonohysterography in infertility.

A M Darwish1, A A Youssef

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.

Gynecologic and Obstetric Investigation
|July 8, 1999
PubMed
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Sonohysterography (SHG) is comparable to hysterosalpingography (HSG) for evaluating the uterine cavity in infertile women. However, HSG is superior for assessing tubal patency, making SHG a less effective tool for diagnosing tubal factors in infertility.

Area of Science:

  • Reproductive Medicine
  • Diagnostic Imaging
  • Gynecology

Background:

  • Infertility affects a significant portion of the reproductive-aged population worldwide.
  • Accurate diagnosis of the causes of infertility is crucial for effective treatment.
  • Evaluating the endometrial cavity and tubal patency are key components of infertility work-up.

Purpose of the Study:

  • To assess the diagnostic value of sonohysterography (SHG) for the endometrial cavity and tubal patency in infertile patients.
  • To compare the efficacy of SHG with hysterosalpingography (HSG), hysteroscopy, and laparoscopic chromopertubation.

Main Methods:

  • Prospective comparative study involving 84 infertile women.
  • Patients underwent SHG prior to combined diagnostic laparoscopy and hysteroscopy.

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  • HSG was performed on 83 patients within six months prior to the study.

    • Main Results:

    • SHG agreement with hysteroscopy for endometrial cavity appearance was 72.2% (k=0.31), compared to HSG's 75.6% (k=0.39).
    • SHG agreement with laparoscopy for tubal patency was 72.4% (right tube) and 60.5% (left tube).
    • HSG agreement with laparoscopy for tubal patency was significantly higher at 94% (right) and 90.4% (left). Indirect assessment of tubal patency via fluid in the pouch of Douglas during SHG showed improved agreement with laparoscopy (88.1% and 85.7%).

    Conclusions:

    • Sonohysterography (SHG) demonstrates comparable accuracy to hysterosalpingography (HSG) in evaluating the endometrial cavity.
    • SHG is less effective than HSG in assessing tubal patency, a critical factor in infertility.
    • SHG offers a simple, fast, and potentially cost-effective alternative for infertility work-up, especially in resource-limited settings, but its limitations in tubal evaluation must be considered.