Sono Hysterosalpingography (Shsg): A Useful Adjuvant in Infertility Evaluation

Abstract

AIMS & OBJECTIVES:To assess the value of transvaginal Sono hysterosalpingography in evaluating the uterine abnormalities and tubal patency in infertile patients and to compare its results with established methods like hysterosalpingography and laparoscopy. MATERIALS & METHODS:Starting from June 2010, 30 cases of transvaginal Sono hysterosalpingography (SHSG) were carried out on patients of infertility and reproductive wastage. The results of this procedure were compared with HSG in 14 cases and with laparoscopy in 16 cases. In cases where uterine factor was suspected the findings of sonohysterogram were confirmed by office hysteroscopy. RESULTS: Out of the 16 cases confirmed by laparoscopy there was complete agreement with SHSG in 14 (87.5%) cases partial agreement in one (6.25%)and total disagreement in 2 (12.5%) cases out of The 14 cases (85.7%) partial agreement in 1 (7.1%) And total disagreement in 2 cases (14.2%). There was 100% agreement in this findings of sono hysterosalpingography and hysteroscopy. CONCLUSION: There were no false positive cases in SHSG. We than conclude from our study that transvaginal SHSG is a simple & reliable method of evaluating uterine abnormalities and tubal patency its results being comparable to the established methods like HSG and laparoscopy.