OBJECTIVE:

To compare the efficiency of sonohysterography(SHG) and hysteroscopy in the diagnosis of intrauterine pathologies in a population of infertile women.

Patients/ METHODS:

122 infertile women with a mean age of 32 years (range 20-45) underwent SHG with sterile saline solution followed by hysteroscopy. The clinical findings obtained by SHG and hysteroscopy were compared. sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of SHG compared to hysteroscopy were calculated.

RESULTS:

The SHG sensitivity and specificity compared with hysteroscopy were 12.8 and 97.3 % respectively. The 2.7 % false positive rate and 75 % PPV detected with sonohysterographic evaluation.

CONCLUSION:

It was concluded that hysteroscopy is superior to SHG in the diagnosis of intrauterine pathologies. Because it enables the interference of endometrial lesions it may be logical to perform office hysteroscopy to all infertile women undergo IVF.

Keywords: Infertility, hysteroscopy, sonohysterography, uterine pathology