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Int J Gynaecol Obstet. 2003 Jul;82(1):57-62.

Sonohysterosalpingographic screening for infertile patients.

Author information

  • 1Department of Obstetrics and Gynecology, Division of Infertility and Endoscopy, Shiraz University of Medical Sciences, Shiraz, Iran. alborzis@sums.ac.ir

Abstract

OBJECTIVES:

To compare the diagnostic accuracy of hysterosalpingography and sonohysterosalpingography in detecting tubal and uterine abnormalities.

METHODS:

In a prospective study for the evaluation of uterine and tubal pathologies, 186 patients with primary and secondary infertility rates (51.6% and 44%, respectively), as well as recurrent abortion rates (3.8%), underwent sonohysterosalpingography. The tubal pathologies, as well as intracavitary and/or structural uterine abnormalities, detected with this procedure were compared with preoperative hysterosalpingography and operative procedures.

RESULTS:

With surgical findings as the gold standard, sonohysterosalpingography had a sensitivity of 78.2%, a specificity of 93.1%, a positive predictive value of 82.7%, and a negative predictive value of 91%. For total tubal and uterine pathologies, the findings for the same parameters using HSG were 76.3%, 81.8%, 90.9%, and 59.2%, respectively. Sonohysterosalpingography was more accurate than hysterosalpingography for detecting intrauterine adhesions and various forms of uterine anomalies.

CONCLUSIONS:

Sonohysterosalpingography is a safe, easy, accurate, and promising procedure for the detection of female upper genital tract pathologies, especially because it can differentiate specific uterine anomalies.

PMID:
12834942
[PubMed - indexed for MEDLINE]
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