ABSTRACT
Objective:
Evaluation of the uterus is one of the indispensable components of routine infertility examinations. The aim of this study is to evaluate the utility of endometrial screening with contrast media during the assessment of the uterus with transvaginal ultrasonography (TvUSG) in infertility researches.
Methods:
One hundred and two infertile patients who were referred to Süleymaniye Obstetrics and Gynecology Hospital because of infertility underwent saline infusion sonohysterography (SIS) at our clinic. The cases were informed about the procedure, and consent forms were obtained. Data was collected prospectively. Results were compared with a large patient cohort that was evaluated with only hysterography (HSG) and TvUSG for uterus assessment.
Results:
Abnormal intracavitary findings were observed in 20.5% of the 102 infertile patients who had undergone SIS. This rate was 7.4% in the control group. Total abnormal intracavitary finding rate of the SIS group was significantly higher (p<0.01). The rates of the uterine anomalies were similar in two groups; 4.9% in the SIS group and 5.03% in the control group. There was no statistically significant difference between the uterine anomaly rates of the groups (p>0.05).
Conclusion:
SIS is a practical, low-cost method that does not require specific equipment; in addition to these advantages, it is effective in the detection of intrauterine pathologies and for making differential diagnosis. In consideration of the higher frequency of uterine pathologies in infertile patients, SIS can be used as a routine test in infertility researches. (JAREM 2015; 5: 102-6)