Hysterosalpingography versus sonohysterography for intrauterine abnormalities

Area of Science:

• Reproductive Endocrinology
• Diagnostic Imaging
• Infertility Evaluation

Background:

• Hysterosalpingography (HSG) is a standard imaging technique for assessing infertility.
• Sonohysterography (SHG) is increasingly utilized for uterine cavity evaluation.
• Direct comparison of HSG and SHG in infertile patients is crucial.

Purpose of the Study:

• To compare the diagnostic performance of hysterosalpingography and sonohysterography.
• To evaluate the detection rates of intracavitary abnormalities like polyps, fibroids, adhesions, and septae.
• To determine the accuracy of each imaging modality in infertile patients.

Main Methods:

• Retrospective chart review of 149 infertility patients.
• Comparison of findings from hysterosalpingography and sonohysterography.
• Validation of imaging results against hysteroscopy findings.
• Calculation of sensitivity, specificity, and accuracy for each test.

Main Results:

• Sonohysterography showed significantly higher sensitivity (81.8%) than hysterosalpingography (58.2%).
• Sonohysterography demonstrated significantly higher specificity (93.8%) compared to hysterosalpingography (25.6%).
• Sonohysterography achieved a higher overall accuracy (75.5%) versus hysterosalpingography (50.3%).

Conclusions:

• Sonohysterography is more sensitive, specific, and accurate than hysterosalpingography for uterine cavity evaluation.
• Sonohysterography offers improved diagnostic capability for intracavitary abnormalities in infertile patients.
• Sonohysterography may be a preferred imaging modality for the infertility workup.