Saline infusion sonography in evaluation of uterine cavity abnormalities in infertility: a comparative study

Sitimani, Anita; Chawla, Indu; Vohra, Poonam

doi:10.18203/2320-1770.ijrcog20162972

Cited by 4 publications

(8 citation statements)

References 12 publications

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“…In this study, uterine cavity abnormalities were found in 13.7% of the infertile patients submitted to HSNG prior to IVF. This finding agrees with the results published in another study, in which 13.3% of 60 infertile women analyzed had abnormalities on HSNG ( Sitimani et al ., 2016 ). However, another study reported abnormalities in 24.8% of 250 infertile women submitted to HSNG ( Gupta et al ., 2016 ).…”

Section: Discussionsupporting

confidence: 93%

“…Other authors reported lower incidences of uterine cavity disorders, with endometrial polyps and myomas seen in 5% and synechiae in 1.7% of patients ( Sitimani et al , 2016 ). A study enrolled 241 infertile women to evaluate the presence of endometrial polyps.…”

Section: Discussionmentioning

confidence: 94%

“…Intrauterine synechiae were the second most common finding in our study (3.5%). This percentage is similar to what is found in the literature, with values ranging between 1.7% and 2% ( Gupta et al ., 2016 ; Sitimani et al ., 2016 ). It should be noted that in the present study four of the six cases diagnosed with synechiae by HSNG and confirmed with hysteroscopy had a history of post-abortion curettage.…”

Section: Discussionmentioning

confidence: 99%

“…Only 1% of the hysterosonograms revealed the presence of submucous myomas, yielding a lower prevalence than the rates reported in literature, which range between 5% and 18% ( Gupta et al ., 2016 ; Sitimani et al ., 2016 ; Vilela et al ., 2012 ). When ultrasound examination found unequivocal evidence of a submucous component in the myomas, the patients were referred directly to hysteroscopy.…”

Section: Discussionmentioning

confidence: 99%

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An overview of the results of hysterosonography prior to in vitro fertilization

Lopes¹,

Barguil²,

Lacerda³

et al. 2017

JBRA Assisted Reproduction

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ObjectiveThis study aimed to analyze the results of hysterosonography performed prior to in vitro fertilization (IVF) and to correlate anomalous findings with hysteroscopy.MethodsFindings from 197 hysterosonograms of patients examined in an assisted reproduction clinic between January 2012 and August 2014 were included. Enrollment criteria: patients in preparation for IVF not recently submitted to uterine examination through hysterosalpingography or hysteroscopy referred to hysterosonography. Uterine cavity evaluation was considered anomalous when one or more of the following were found: polyps, submucous myomas, uterine synechiae, Müllerian duct anomalies. Individuals with cavity abnormalities that might interfere with IVF results were referred to hysteroscopy.ResultsNormal test results were seen in 170/197 of the cases (86.3%). Eighteen of the 197 cases (9.1%) were suspected for polyps, two (1%) for submucous myoma, six (3.5%) for synechiae, and one (0.5%) for Müllerian duct anomalies. Sixteen of the patients diagnosed with abnormalities underwent hysteroscopy to confirm or treat the suspected pathology. In only two cases there was no agreement between tests: one patient suspected for synechiae and another for polyps were not confirmed; another individual suspected for polyps was found to have focal endometrial thickening in hysteroscopy. The positive predictive value (PPV) in our study was 93.7%.ConclusionIn most cases, the diagnoses obtained by hysterosonography showed normal uterine cavities. The most common anomalous findings were polyps, followed by synechiae, submucous myoma, and Müllerian duct anomalies. Hysterosonography is a good option for evaluating the uterus and offers a high positive predictive value, while hysteroscopy stands as the gold standard.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

An overview of the results of hysterosonography prior to in vitro fertilization

Lopes¹,

Barguil²,

Lacerda³

et al. 2017

JBRA Assisted Reproduction

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show abstract

“…Similar data have been found by Salle et al while Sitimani and col. found contradictories one. 14,15 These finding show the high accuracy of the SIS in the diagnostic of intrauterine adhesions although mild synechiae may be missed at the SIS assessment.…”

Section: Discussionmentioning

confidence: 70%

Accuracy of saline infusion sonography versus hysteroscopy in the evaluation of uterine cavity abnormalities in infertile women at CHRACERH, Yaounde, Cameroon

Ndoua

Belinga

Ngah

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine cavity abnormalities are seen as a cause of infertility in around 10%-15% and can go up to 50% in women with recurrent implantation failure. Saline infusion sonohysterography (SIS) is a minimally invasive diagnostic modality in the evaluation but hysteroscopy remains the gold standard in the assessment of intra uterine cavity. The aim of this study was to compare the diagnostic accuracy of saline infusion sonography (SIS) considering hysteroscopy (HS) as the gold standard to evaluate uterine cavity pathologies in infertile women at CHRACERH. Methods: Authors carried out a cross-sectional, retrospective study, over 2 years, from the 1st January 2016 to the 31st December 2017, with retrospective data collection in 110 records of infertile patients subjected to an ultrasound assessment of uterine cavity using saline as the contrast medium with a 6.5-MHz transvaginal transducer. When SIS found intra uterine abnormality, HS was done on a later date, using a 5 mm Bettocchi hysteroscope. Sensitivity, specificity, accuracy, positive and negative predictive values of SIS and HS were compared using the SPSS 20 software. Results: The mean age and body mass index were respectively 39.3±7.8 years and 28.7±4.1 kg/m². The main findings both in SIS and Hysteroscopy were respectively polyps (n=61; 55.5% vs 52.7%; n=58), myomas (n=43; 39.1% vs 31.8%; n=35), intrauterine adhesions (n=18; 16.4% vs 21.8%; n=24). The overall sensitivity, specificity and accuracy of SIS were 81.2%, 86.9% and 86.5% respectively. Conclusions: SIS as a diagnostic tool in the evaluation of intrauterine lesions has a good accuracy and can therefore replace HS when this later is not available, especially in our African setting.

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Ultrasound Role in Management of Female Infertility

Ali¹,

Keriakos

2020

The Medical Journal of Cairo University

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Background: Investigation of the probable causes of female infertility is complex and in many instances a complicated process. Aim of Study: To discuss the role of ultrasound in detection of causes of female infertility (including those disorders of cervix, ovaries, fallopian tube and uterus) illustrated by few cases. Patients and Methods: This cross sectional study was conducted on thirty female patients seeking fertility at Itay scan private radiology center, Itay Elbaroud and Al Dlangat General Hospitals, during the period from January 2018 to January 2020. All patients were subjected to examination using (GE healthcare Voluson P8 and Toshiba Nemio 30 and Medison Sono Ace R3) Ultrasound Machines. Results: Uterine abnormalities represent about 60%, cervical abnormalities represent 3.3% and ovarian abnormalities represent 23.3%, while tubal abnormalities represent 13.3% of the study group. Mean age of uterine abnormalities is about 30.5 years old, cervical abnormalities about 26 years old, ovarian abnormalities about 26 years old while mean age of tubal abnormalities is 30.5 years old in the study group. In most cases of female infertility in our study, ultrasound has been of great value: e.g. uterine malformations (sub septate and bicornuate uterus), endometrial abnormalities (endometrial polyp and focal endometrial hyperplasia), myometrial diseases (fibroids and uterine adenomyosis), tubal abnormalities (including hydrosalpinx and endometriosis), ovarian functional abnormalities (polycystic ovary) and cervical abnormalities (cervical masses). Conclusion: Ultrasound is a reliable tool in the diagnosis of many anatomical causes of female infertility and is comparable to gold standard investigations in many circumstances, so we recommend it as primary investigation modality that could be complemented by other tools e.g. MRI, HSG, and laparoscopy when needed.

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Saline infusion sonography in evaluation of uterine cavity abnormalities in infertility: a comparative study

Cited by 4 publications

References 12 publications

An overview of the results of hysterosonography prior to in vitro fertilization

An overview of the results of hysterosonography prior to in vitro fertilization

Accuracy of saline infusion sonography versus hysteroscopy in the evaluation of uterine cavity abnormalities in infertile women at CHRACERH, Yaounde, Cameroon

Ultrasound Role in Management of Female Infertility

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