DOI: 10.36347/sjams.2015.v03i06.019

Pages: 2258-2261

Infertility is the most common health concern in young adults. The aim is to study the diagnostic role of3- Dimensional sono hystero salpingography for detection of intrauterine lesions, extra uterine lesions and tubal pathology. It is a hospital based prospective, descriptive study in which50 patients with normal uterine cavity at transvaginal ultrasound underwent infertility workup at our outpatient clinic. All patients underwent 3-Dimensional sono hystero salpingography. These were then subjected to diagnostic hysterolaparoscopy the following day. The results of both were compared and correlated. Sensitivity, Specificity, Positive predictive value (PPV), Negative predictive value (NPV) and accuracy of 3- Dimensional sono hystero salpingography was compared with diagnostic hystero laparoscopy in detecting intrauterine, extra uterine lesions and tubal patency. The sensitivity, specificity, PPV, NPV and accuracy of 3- Dimensional sono hystero salpingography was 71.4%, 100%, 100%, 95.58% and 96% respectively for detecting intrauterine lesions; was 90.91%, 92.3%, 79.9%, 97.3% and 92% for detecting ovarian pathology; and 97.6%, 87.5%, 97.6%, 87.5% and 96% for detecting tubal patency. For diagnostic hystero laparoscopy, considered as the gold standard, the sensitivity, specificity, PPV, NPV and accuracy was 100%. It was concluded that the diagnostic value of 3- Dimensional sono hystero salpingography is comparable to diagnostic hystero laparoscopy in detecting intrauterine lesions, extra uterine lesions and tubal patency. Thus 3-D SHSG should be included as a preliminary investigation in infertility work up in women with normal uterine cavity in transvaginal ultrasound.