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Category: Volume 06 Issue 06 June 2018
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Title: Comparison of Transvaginal Sonography and Hysteroscopy in diagnosis of intrauterine pathologies in infertile women

Authors: Dr Arashdeep Singh, Dr Ramneek Kaur

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i6.114

Abstract

Introduction

Infertility is a problem as old as mankind itself. Approximately 10% to 15% of all married couple are infertile with female factors accounting for approximately 40% of these cases which include uterine tubal, ovarian and other factors. Uterine factors are responsible for 5% to 10% of etiologies1. Uterine conditions causing infertility consists of Mullerian anomalies, fibroids, polyps, synechiae.TVS is an imaging modality of choice for monitoring follicular development 2 and can also demonstrate congenital uterine anomalies.

Modern hysteroscopy has two major applications: First diagnosis and second management of intrauterine defects. Investigators showed that 34% to 62% of infertile patients have uterine abnormality recognized by hysteroscopy that could explain infertility3.

References

  1. Moghessi K.S.: The infertile women , Obst& Gynaec clinic of North America: 14:4:1987;887-924
  2. Peter R. Brinsden: Textbook of in Vitro Fertilization and assisted Reproduction : The Bourn Hall textbook : Taylor and Franscis 2003.
  3. Gallinat A : Hysteroscopy as a diagnostic and therapeutic procedure in sterility , In Siegler AM, Lindemann HJ(eds) :Hysteroscopy : Principle and practice; Philadelphia : JB Lippincott1984:180
  4. Lindemann HJ Mohr J: Carbon dioxide hysteroscopy : diagnosis & treatment ; Am J Obstet Gynaecol1976:124-129
  5. La Sala GB , Sacchetti F , Degl. Incert – Tocci F, Dessanti L, Torelli MG: Complementary use of Hysterosalpingography , hysteroscopy and laparoscopy in 100 infertile patients : Results and comparison of their diagnostic accuracy; Acta Eur Fert :1987 :18:6:369-374
  6. SergioReis Soares, Marcos Messala Batisk, Arolodo Fernando Camargos Diagnostic accuracy of sonohysterography , transvaginal  sonography and hysterosalpingography in patients with uterinecavity diseases; Fertil Steril: Feb 2000: 73:2: 406-410
  7. Josef Shalev , Israel Meizner, Italy Bar-Hava, Dov Dicker , Ruben Mashiach, Zion Ben-Rafael: Predictive value of transvaginal sonography performed before routine diagnostic hysteroscopy for evaluation of infertility Fertil Steril: Feb 2000: 73:2: 412-417
  8. Valle RF: Hysteroscopy in evaluation of female infertility ; Am J Obstet Gynecol 1980:137:425-431
  9. Taylor PJ, Cumming DC : Hysteroscopy in 100 Patients ;Fertil Steril 1979:311: 301-304
  10. Finikoitis G:Abnormal cornual ostia and infertility: Aust NZ Obstet Gynecol : 1989: 29: 4:425-427.

Corresponding Author

Dr Ramneek Kaur

Consultant Gynaecologist Indus International Hospital, Derabassi

Contact No.: 8146457631, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.