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Document Type

Original Article

Abstract

Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited the outpatient clinics at Al-Hussein and EL-said Galal hospitals affiliated with the Faculty of Medicine at Al-Azhar University. Results: The average age of the participants was 30.72 ± 5.05 years (range: 20-41) and their BMI ranged between 24.7-38.1 with mean value of 30.75 ± 2.72. 66% of the study population had 1ry infertility and 34% had 2ry infertility. The identification of Submucous myoma abnormalities did not differ significantly between the groups, agreement analysis of abnormalities, Sensitivity, specificity of ultrasonography for prediction of abnormalities. Conclusion: Diagnosing uterine focal lesions with 3D transvaginal ultrasound is as accurate as hysteroscopy. Most uterine abnormalities can be accurately diagnosed using 3D sonography. However, hysteroscopy provides a direct view of the uterine interior, thus it can pick up on minor localized intrauterine lesions that would be missed by vaginal ultrasonography.

Keywords

Three-Dimensional Transvaginal Ultrasonography; Hysteroscopy; Uterine Cavity Abnormalities; Infertile Women.

Subject Area

Obstetrics and Gynecology

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