Hydrosonography and Hysteroscopy in Screening for Intracavitary Pathology in Infertile Women

Abd Elsalam, Hatem Elgendy; Rafeek, Mohammed El Sayed; El-Ghazaly, Tamer El-Sayed; El-Kadosi, Mohammed El-Husseny

doi:10.21608/ebwhj.2025.390393.1466

Hydrosonography and Hysteroscopy in Screening for Intracavitary Pathology in Infertile Women

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology department,Benha facuty of medicine, Benha university

² Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University

³ Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University

⁴ Obstetric and gynecology department faculty of medicine Zagazig university

10.21608/ebwhj.2025.390393.1466

Abstract

The most reliable technique for diagnosing lesions in the uterine cavity is hysteroscopy. Because the injected saline solution dilates the uterine chamber and functions as a contrast agent during transvaginal ultrasonography, sonohysterography has provided a more detailed image. The process allows for a more accurate assessment of endometrial thickness and precisely defines the uterine cavity. The purpose of this study was to evaluate the use of sonohysterography in comparison to hysteroscopy, which was thought to be the gold standard method for identifying abnormalities in the uterus. After undergoing a general and gynecological examination to rule out any uterine conditions such as myomas, polyps, uterine adhesions, or abnormalities, 100 infertile females were enrolled in the research. Every patient had hysteroscopy and sonohysterography, with the latter being used as a gold standard for comparison.

RESULT: An intrauterine anomaly was present in 35 out of 100 female infertile cases. The majority of findings (18%) were polypoid lesions.

The SHG exhibited a sensitivity of 91.7, specificity of 96.9, PPV of 94.3, NPV of 95.4, and accuracy of 95 in comparison. Performing SHG took five to fifteen minutes. Seven minutes or less was the total time required in seventy percent of instances. Our study's findings lead us to the following conclusion: Sonohysterography is a straightforward, quick, affordable, well-tolerated, and reasonably accurate way to assess the uterine factor in female infertile patients. Following TVS, routine sonohysterography can assist in saving numerous needless diagnostic hysteroscopies and aid in the procedure's planning.

Keywords