Three-dimensional sonohysterography may replace hysteroscopy for women with perimenopausal bleeding

Area of Science:

• Gynecology
• Medical Imaging
• Reproductive Health

Background:

• Perimenopausal bleeding is a common gynecological concern requiring accurate diagnosis of intrauterine lesions.
• Hysteroscopy is the traditional gold standard but is invasive.
• There is a need for less invasive diagnostic tools for the uterine cavity.

Purpose of the Study:

• To evaluate the efficacy of three-dimensional saline-infusion transvaginal sonohysterography (3D-SITVS) as a replacement for hysteroscopy.
• To compare the diagnostic accuracy of 3D-SITVS and hysteroscopy in identifying intrauterine lesions in women with perimenopausal bleeding.

Main Methods:

• A study involving 50 women with perimenopausal bleeding was conducted.
• Three-dimensional saline-infusion transvaginal sonohysterography was performed, followed by hysteroscopy for all participants.
• Diagnostic accuracy metrics including sensitivity and specificity were calculated for both procedures.

Main Results:

• Three-dimensional saline-infusion transvaginal sonohysterography demonstrated 100% sensitivity for endometrial polyps and 92% for submucous fibroids compared to hysteroscopy.
• The specificity for both lesions was 100%, with over 95% accuracy for other intrauterine abnormalities.
• The imaging technique showed high concordance with hysteroscopy findings.

Conclusions:

• Three-dimensional saline-infusion transvaginal sonohysterography can be considered a highly effective alternative to hysteroscopy.
• This non-invasive method provides accurate assessment of the uterine cavity in women with perimenopausal bleeding.
• It offers a valuable tool for gynecological diagnostics, potentially reducing the need for invasive procedures.