A COMPARATIVE STUDY BETWEEN SONOHYSTEROSALPINGOGRAPHY AND HYSTEROSALPINGOGRAPHY IN THE EVALUATION OF INFERTILITY
Journal of Evolution of Medical and Dental Sciences
OBJECTIVES: Evaluation of uterus, fallopian tubes, ovaries and adnexa with the help of trans-vaginal ultrasonography, and to evaluate the efficacy of SSG as compared to HSG in detecting fallopian tube patency. MATERIALS AND METHODS: Prospective Study of 61 patients for two years in 20-40 yrs age groups referred to Radiology Department in SAT hospital presenting with primary or secondary infertility, All the patients were evaluated with SSG and HSG. Patients with signs of acute genital
... e genital inflammation or bleeding were excluded from the study. RESULTS: In all the 61 patients presenting with infertility sonosalpingograpy was performed in out of which 46 were primary infertility and 15 were secondary infertility. The detection and characterization of uterine cavity abnormalities was more accurate with SSG than by radiographic HSG. In addition, SSG could detect uterine wall abnormalities, peritoneal abnormalities and ovarian abnormalities which could not be detected on HSG CONCLUSION: Sonohysterosalpingography (SSG) is an effective method for detecting fallopian tube patency. It has a sensitivity of 100% and a specificity of 84% with respect to Hysterosalpingography (HSG).The absence of radiation and the fact that it can be performed as an outpatient procedure makes SSG an excellent screening test for evaluation of infertile women.