VAGINAL SONOGRAPHY a HYSTEROSCOPY

COMPARISON IN INFERTILITY PATIENTS

Abstract

B a c k g r o u n d : Hysteroscopy is a valuable diagnostic and therapeutic modality in the management of infertility. A i m : To evaluate
the consistency of hysteroscopy based on a histopathological report from endometrial specimens for intrauterine disorders. Materials and
Methods: This is a cross-sectional study. The study included 115 infertile patients. All were admitted for investigation of infertile women before
assisted reproduction in Mehr infertility institute between 2006 and 2007 hysteroscopy, and histological evaluation of endometrial biopsy
performed.We compared the efficacy of hysteroscopy in the diagnosis of benign intrauterine pathology in infertile women in whom the diagnosis
was confirmed by histologic studies. The women had a complete evaluation with preoperative hysteroscopy, and histological analysis of uterine
cavity specimens. Sensitivity, specificity, predictive and negative predictive values were calculated for hysteroscopy considering the histological
study as 100%. Results: Sensitivity and specificity of sonography in diagnosing the polyp were stated 81 % and 64% respectively. Sensitivity
and specificity of hysteroscopy showed of polyps revealed 85% and 84% respectively. The results indicated that Sensitivity and specificity of
sonography in diagnosing the myoma were 25% and 98% respectively. Sensitivity and specificity of hysteroscopy in diagnosing the myoma
were expressed 50% and 93% respectively. C o n c l u s i o n : Hysteroscopy is a safe and rapid direct visualisation of the uterine cavity. We believe
it should be replaced by the diagnostic hysteroscopy as a first line infertility investigation.