Clinical and sonohysterography evaluation of infertile women

Pandit, Upendra; Baral, Lekhnath

doi:10.3126/jcmc.v10i1.28073

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…The pathological findings stated that polycystic ovaries were found in 15%, endometrial polyps in 2 cases, fibroid uterus 5%, ovarian cysts in 2%, and uterine cysts with hydrosalpinx in 4%. 11 In another study of 98 cases, SIS/SHG showed abnormal uterine findings in 27% of cases, and HSG detected abnormal uterine findings in 11% of cases, adhesions were found in 12%, fibroid in 8%, polyp in 5%, septate/ bicornuate uterus in 1% cases. 12 Another study narrated a total of 24 infertile women, where 87.5% of women had suffered from primary infertility and 12.5% from secondary infertility level.…”

Section: Discussionmentioning

confidence: 90%

Efficacy of transvaginal sonohysterosalpingography for evaluation of infertile women

Khanum

Fatima

Ishrat

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Women with infertility may be benefitted from sonohysterosalpingography (SHSG), a transvaginal ultrasound procedure that uses a contrast medium to assess the endometrial cavity and tubal patency. It could be a safer and more viable alternative to radiographic hysterosalpingography (HSG). The aim of the study was to evaluate the uterine cavity and fallopian tube patency in infertile women by SHSG using transvaginal ultrasound.Methods: The prospective comparative study was carried out in a total of 35 cases of infertile women between the reproductive age of 20-40 years following the inclusion and exclusion criteria, from July 2016 to June 2017. Detailed history and physical examinations were carried out and appropriate management was instituted as per the needs of the individual patient.Results: In the present study, 41.2% of the women belonged to the age range of 25-29 years. Out of 35 women, 50% women were in the state of primary infertility and remaining were in a secondary infertility state. Holding the SHSG both tube blockage as positive findings the sensitivity of SHSG was found at 100%, specificity was 96.88% and accuracy was 97.14%, while positive predictive value was 80.49% and negative predictive value was 100%.Conclusions: Transvaginal SHSG as a first-line method for evaluation of endometrial cavity and tubal patency is effective and time convenient. Before going to the more invasive gold standard methods, i.e. Hysteroscopy and Laparoscopy, this may be a simple, safe, and well-tolerated technique with a low risk of adverse effects and severe complications.

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Section: Discussionmentioning

confidence: 90%

Efficacy of transvaginal sonohysterosalpingography for evaluation of infertile women

Khanum

Fatima

Ishrat

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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“…It can cause transient distortion of the endometrial cavity by blood, mucous, debris and air bubbles which can cause false positive results [12]. Sonohysterography, a modern technique, now widely used for evaluation of female infertility is more sensitive than TVS, less expensive than hysteroscopy and has a comparable diagnostic accuracy [7].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Khan¹,

Rehana²,

Saeed³

et al. 2022

PJMHS

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Background: Infertility is defined as the failure to conceive after 1 year of unprotected sexual intercourse in women less than 35 years of age and 6 months in women older than 35 years [1, 2]. It affects 10 to 15 % of the couples [1]. Abnormalities of fallopian tubes account for 35 to 40 % of the cases of infertility [3]. Sonosalpingography is a non-invasive, safe and cost- effective diagnostic technique which provides reliable diagnosis of tubal patency [4]. Objective: To evaluate the diagnostic validity of Sonosalpingography as a tubal patency test in infertile women using laparoscopy as gold standard. Methodology: This study was carried out at the Radiology Departments of Khyber Teaching Hospital and Kuwait Teaching Hospital in Peshawar. We used the WHO method for sample size by taking the prevalence of tuboperitoneal factors as 30%, sensitivity 72.9%, specificity 81.22%, margin of error 12%, and 95% confidence interval. It was a cross-sectional study that lasted for 6 months and assessed a total of 178 patients. Additionally, a non-probability, sequential sampling strategy was utilized to acquire the sample. Results: Our patients aged between 18-45 years, out of which 30% of the participants aged 18 to 25years, 55% were between 26 and 35years, and 15% were between 36 and 45years. Standard deviation was 1.26, with a mean age of 27. The data collected from both the diagnostic tests was analyzed, diagnostic accuracy of Sonosalpingography was calculated as a sensitivity of 81%, specificity of 76%, positive predictive value of 90%, negative predictive value of 60%, and diagnostic accuracy of 79%. Conclusion: According to the results of our study, sonosalpingography is a very helpful supplemental diagnostic tool for evaluating tubal disease in patients with infertility, though direct laparoscopic assessment is the gold standard. Sonosalpingography and laparoscopy can be used to evaluate patients with secondary infertility. This spares the patient from being exposed to radiations and the discomfort of contrast administration in HSG. Keywords: Diagnostic Accuracy, Sonosalpingography, Tubal Patency, Infertility, Laparoscopy

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“…The methods available for the assessment of endometrial cavity and tubal patency include HSG, TVS, Laparoscopic chromopertubation, Falloposcopy, radionuclide hysterosalpingography (7). Among the less invasive or noninvasive diagnostic modalities are ultrasonography, Sonosalphingography and MRI while invasive modalities are HSG, hysteroscopy and laparoscopy (8).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as the Gold Standard

Qureshi¹,

Gill²,

Iqbal³

et al. 2022

PJMHS

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Objective: To evaluate the diagnostic validity of Sonosalphingography as a tubal patency test in infertile women using laparoscopy as gold standard. Methodology: This study was carried out at the Shifa International Hospital Islamabad, and the duration of this study was from January 2021 to June 2021. We used the WHO method for sample size by taking the prevalence of tuboperitoneal factors as 30%, sensitivity 72.9%, specificity 81.22%, margin of error 12%, and 95% confidence interval. It was a cross-sectional study that lasted for 6 months and assessed a total of 178 patients. Additionally, a non-probability, sequential sampling strategy was utilized to acquire the sample. Results: Our patients aged between 18-45 years, out of which 30% of the participants aged 18 to 25 years, 55% were between 26 and 35 years, and 15% were between 36 and 45 years. Standard deviation was 1.26, with a mean age of 27. The data collected from both the diagnostic tests was analyzed, diagnostic accuracy of Sonosalphingography was calculated as a sensitivity of 81%, specificity of 76%, positive predictive value of 90%, negative predictive value of 60%, and diagnostic accuracy of 79%. Conclusion: According to the results of our study, Sonosalphingography is a very helpful supplemental diagnostic tool for evaluating tubal disease in patients with infertility, though direct laparoscopic assessment is the gold standard. Sonosalphingography and laparoscopy can be used to evaluate patients with secondary infertility. This spares the patient from being exposed to radiations and the discomfort of contrast administration in HSG. Keywords: Diagnostic Accuracy, Sonosalphingography, Tubal Patency, Infertility, Laparoscopy

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Clinical and sonohysterography evaluation of infertile women

Cited by 3 publications

References 20 publications

Efficacy of transvaginal sonohysterosalpingography for evaluation of infertile women

Efficacy of transvaginal sonohysterosalpingography for evaluation of infertile women

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as Gold Standard

Diagnostic Accuracy of Sonosalpingography for Assessing Tubal Patency in Women with Infertility Taking Laparoscopy as the Gold Standard

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