DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20196016

A comparative study of saline infusion sonohysterography and hysterosalpingography for evaluation of female infertility

Riya Bhattacharya, A. C. Ramesh

Abstract


Background: Infertility is a complex disorder with significant psychological and emotional impact. It affects 10-15% of couples in the reproductive age group. Hence, evaluation of female genital tract is an important part of workup of an infertile woman. The most commonly used methods are hysterosalpingography which exposes the patient to ionizing radiation and laparoscopy which is invasive. This calls for the need of a low risk method that would be suited for ambulatory application. Saline infusion sonohysterography is a cost-effective, safe, non-invasive and a rapid procedure to visualize the female pelvic organ in evaluation of infertility. The objective of this study was to compare diagnostic accuracy of saline infusion sonography (SIS) over conventional hysterosalingography (HSG) for evaluation of female infertility.

Methods: Total 50 patients who presented to the gynecology OPD between 2018 to September 2019 for evaluation of infertility were included for the study. The results of the two procedures were compared.

Results: For evaluation of uterine cavity, SIS had a sensitivity of 95%, specificity of 100%, PPV of 100%, NPV 75% and a sensitivity of 100%, specificity of 100%, PPV of 91%, NPV of 100% for tubal patency as compared to HSG.

Conclusions: For evaluation of uterine cavity, SIS had a sensitivity of 95%, specificity of 100%, PPV of 100%, NPV 75% and a sensitivity of 100%, specificity of 100%, PPV of 91%, NPV of 100% for tubal patency as compared to HSG.


Keywords


Hysterosalpingography, Infertility, Saline infusion sonohysterography

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References


Dutta DC. Text-book of Gynecology. 7th ed. Infertility. Jaypee Brothers; 2016:186-209.

Gaucherand P, Pizcenza JS, Salle B, Rudrigos RC. `Sonohysterography: Preliminary Investigation. JCU. 1992;28:339-48.

Despande P, Deshpande S. Sonohysterosalpingography (SHG): an adjuvant in infertility evaluation’. J Evol Med Dent Sci. 2015;4(10):1628-33.

Singh V, Mishra B, Sinha S. Role of saline infusion sonohysterography in infertility evaluation. J Hum Reprod Sci. 2018;11:236-41.

Brown SE, Coddington CC, Schnorr J, Toner JP, Gibbons W, Oehninger S. Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study. Fert Ster. 2000;74(5):1029-34.

Onwutchekwa CR, Oriji VK. Hysterosalpingographic pattern of infertility in women of reproductive age. J Hum Reprod Sci. 2017;10:178-84.

Seshadri S, El Toukhy T, Douiri A, Jayaprakasan K, Khalaf Y. Diagnostic accuracy of saline infusion sonography in the evaluation of uterine cavity abnormalities prior to assisted reproductive techniques: a systematic review and meta analyses. Hum Reprod Update. 2015;21:262-7.

Pujar Y, Sherigar B, Patted S, Desai BR, Dhumale H. Comparative evaluation of saline infusion sonohysterography and hysterolaparoscopy for diagnosis of uterine cavity abnormalities and tubal patency in infertility: a one-year cross sectional study. South Asian Fed Obstet Gynecol. 2010;2:133 5.

Mitri FF, Mitri FF, Andronikou AD, Perpinyal S, Hofmeyr GJ, Sonnendecker EW. A clinical comparison of sonographic hydrotubation and hysterosalpingography. British J Obst Gynae. 1991;98:1031-6.

Allahbadia GN, Nalawade YV, Patkar VD, Niyogi GM, Shah PK. The Sion test. Aust N Z J Obstet Gynaecol. 1992;32:67-70.

Beenamol MP, Beenamol S. A comparative study between sonohysterosalpingography and hysterosalpingography in the evaluation of infertility. J Evol Med Dent Sci. 2013;7:702.