Hysteroscopic evaluation of uterine cavity in cases of infertility and its correlation with transvaginal ultrasound and hysterosalpingography

Shukła, P. K.; Yadav, Kalpana; Mishra, Sakshi

doi:10.18203/2320-1770.ijrcog20163851

Cited by 4 publications

(8 citation statements)

References 8 publications

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“…Thus, the strength of agreement was considered to be moderate. Similar results were reported by Shukla P et al 5 In this present study, the overall agreement between hysterosalpingography and hysteroscopy was found to be moderate (kappa = 0.419) and significant correlation was found with hysteroscopy being better diagnostic tool. Shukla P et al, revealed moderate agreement between HSG and hysteroscopy with significant correlation was found with hysteroscopy being a better diagnostic tool.…”

Section: Discussionsupporting

confidence: 92%

“…Similarly, Shukla P et al, in their study found that hysterosalpingography revealed normal uterine cavity in 65% of cases while 35% of cases abnormal in uterine cavity. 5 In this study, the comparative analysis between transvaginal sonography and hysteroscopy, the overall agreement between both the methods was moderate. (Kappa = 0.416) and significant correlation between the two with hysteroscopy being a better diagnostic tool (chi square value = 14.93 and P-value-<0.01).…”

Section: Discussionmentioning

confidence: 71%

“…Shukla P et al, revealed moderate agreement between HSG and hysteroscopy with significant correlation was found with hysteroscopy being a better diagnostic tool. 5 This study depicts that hysteroscopy has sensitivity (95%) and NPV (92%) whereas that of TVS is 48.9% and 44.9% respectively. Hysterosalpingography has sensitivity 68.3% and NPV 40.3%.…”

Section: Discussionmentioning

confidence: 74%

“…These results were in accordance with the study done by Shukla P et al, who revealed that. 5 The TVS was highly specific (100%), but 51.21% sensitive compared with hysteroscopy (sensitivity 95.12%, specificity 100%). Similar to what was found by El-Mazny et al, in a study found transvaginal ultrasound had a low sensitivity of 41.7% and a high specificity.…”

Section: Discussionmentioning

confidence: 93%

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Comparative study of hysteroscopy, hysterosalpingography and transvaginal sonography in evaluation of the female infertility

Vohra

Tyagi

Gupta

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: One of the most important and underappreciated reproductive health problems in developing countries is that of infertility. Objective of this study was to evaluate HSC (hysteroscopy), HSG (hysterosalpingography) and ultrasonography in infertility.Methods: This study was conducted among 100 infertile patients over a period of two years. The patients were questioned for the detailed history including socioeconomic status, medical history and previous history of taking any medications and supplements. The recruited patients had to undergo.Results: Transvaginal sonography and clinical examination were done. Transvaginal sonography detected abnormality in 40% of women. 65 women had normal hysterosalpingography findings whereas the rest 35 women had abnormal hysterosalpingography findings. Thirty nine percent (39%) had normal hysteroscopic findings while sixty one percent (61%) had abnormal findings. The study depicts that hysteroscopy has sensitivity (95%) and negative predictive value NPV (92%) whereas that of TVS is 48.9% and 44.9% respectively. Hysterosalpingography has sensitivity 68.3% and NPV 40.3%. Specificity (100%) and positive predictive value PPV (100%) of all the three modalities are the same.Conclusions: The results of the present study showed that each modality provided useful information but no single modality provided complete information for evaluating infertile women. Thus, a combination of all three modalities- TVS (transvaginal sonography), HSG (hysterosalpingography) and hysteroscopy is necessary to evaluate infertile women.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 93%

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Comparative study of hysteroscopy, hysterosalpingography and transvaginal sonography in evaluation of the female infertility

Vohra

Tyagi

Gupta

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…Hysteroscopy is considered the gold standard for uterine cavity evaluation because it allows for direct visualization. Diagnostic hysteroscopy may be performed in the office using a small-diameter hysteroscope and saline distension, often without need for anesthesia (9) . Almost 50% of hysteroscopic complications are related to difficulty with cervical entry.…”

Section: Discussionmentioning

confidence: 99%

Dinoprostone versus Misoprostol for Cervical Ripening before Diagnostic Hysteroscopy in Nulliparous Women : A Randomized Controlled Trial

Khalaf

Tarek

Abulnour³

et al. 2018

Egyptian Journal of Hospital Medicine

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Background: Hysteroscopy has revolutionized the field of Gynecology and the management of many gynecological conditions. It has now become a standard part in the diagnosis of postmenopausal bleeding by the gynecological surgeons. Cost, convenience, accuracy, and patient acceptability of these procedures are clearly superior to those of traditional surgeries. As gynecologists have grown better acquainted with the benefits and techniques of operative hysteroscopy, it has become the method of choice for treatment of intrauterine pathology. Cervical ripening is a complicated process, being mediated by cytokines, growth factors, hormones and other biochemical compounds. Both dinoglandin and Misoprostol can be used for cervical ripening before introduction of hysteroscopy and hence reduce the incidence of complications. Objects: This study aims to assess the efficacy of dinoprostone compared to misoprostol in cervical ripening in nulliparous women undergoing diagnostic hysteroscopy. Methodology: a randomized controlled clinical trial comparing dinoprostone versus misoprostol for cervical ripening before diagnostic hysteroscopy in nulliparous women, it included 2 groups, 33 patients each. In the first group named (group D) dinoprostone 3 mg was applied vaginally 6 hours before diagnostic hysteroscopic procedure while in the second group named (group M) 400 mcg misoprostol was applied vaginally at the same timing. Results: There was no statistically significant difference between the groups that received misoprostol or dinoprostone with regard to age, duration of marriage, medical disorder, history of gynecological operations and type of gynecological operations. However, the use of misoprostol caused slightly less pain compared to dinoprostone but more side effects occurred with the use of misoprostol. Conclusion: There was no significant difference between dinoprostone and misoprostol in priming of cervix before diagnostic hysteroscopy in nulliparous women regarding ease of hysteroscope entry, pain or side effects.

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Comparison of hysterosalpingography and hysteroscopy in evaluating the uterine cavity in infertile women

Al-Sannan¹,

Cheung²,

Akbar³

2019

MOJWH

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Background: Infertility in women is predominantly associated with uterine cavity abnormalities. Uterine cavity anomalies and damage to the fallopian tubes may occur due to various reasons such as endometriosis, polyps, adhesions and scar tissues. Objective: To investigate the diagnostic value of hysterosalpingography (HSG) in comparison to hysteroscopy (HSC) for various structural and intracavitary uterine pathologies in women with infertility. Materials and methods: An observational study of 280 women with infertility was carried out to compare the diagnostic values of HSG and HSC in the diagnosis of uterine pathologies in women enduring infertility. The specific uterine conditions evaluated were intrauterine synechiae, intrauterine fibroids/polyps and Mullerian congenital anomalies. The main outcome measures were sensitivity, specificity, positive and negative predictive values of HSG relative to hysteroscopy in diagnosing the following uterine pathologies: intrauterine synechiae, intrauterine fibroids/polyps and Mullerian anomalies. Results: HSG had a sensitivity of 75% in detecting intrauterine synechiae, specificity of 86.5%, positive predictive value of 63% and negative predictive value of 91.8%. For fibroids or polyps, the equivalent values were 82.3%, 40.9%, 56.4% and 71.4%. Finally, for Mullerian congenital anomalies, the corresponding values were 86.6%, 76.3%, 48.1% and 95.7%. The study has indicated that the HSG remains a useful screening test in evaluating the uterine cavity of infertile women. Conclusion: It has been subsequently concluded that HSG remains a valuable screening modality for the evaluation of uterine cavity of infertile women if office sonohysteroscopy or hysteroscopy is not available in absence of tubal pathology. HSG was an ideal procedure to detect intrauterine synechiae, fibroids and to a lesser extent, congenital Mullerian abnormalities. Hysteroscopy should be considered to make a definitive diagnosis and treatment. These two procedures are complementary to each other in evaluation of uterine cavity.

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Hysteroscopic evaluation of uterine cavity in cases of infertility and its correlation with transvaginal ultrasound and hysterosalpingography

Cited by 4 publications

References 8 publications

Comparative study of hysteroscopy, hysterosalpingography and transvaginal sonography in evaluation of the female infertility

Comparative study of hysteroscopy, hysterosalpingography and transvaginal sonography in evaluation of the female infertility

Dinoprostone versus Misoprostol for Cervical Ripening before Diagnostic Hysteroscopy in Nulliparous Women : A Randomized Controlled Trial

Comparison of hysterosalpingography and hysteroscopy in evaluating the uterine cavity in infertile women

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