scholarly journals Evaluation of HSG and SIS Diagnostic Value in Comparison to Hysteroscopy to Detect Intrauterine Abnormalities in Infertile Women in Iran

2021 ◽  
Vol 13 (6) ◽  
pp. 625-629
Author(s):  
Parisa Taherzadeh Boroujeni
Keyword(s):  
Diagnostic Value ◽  
Infertile Women ◽  
Intrauterine Abnormalities

scholarly journals Evaluation of HSG and SIS Diagnostic Value in Comparison to Hysteroscopy to Detect Intrauterine Abnormalities in Infertile Women in Iran

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Nazari L ◽  
◽  
Boroujeni PT ◽  
Keyword(s):  
Sensitivity And Specificity ◽  
Predictive Value ◽  
Gold Standard ◽  
Uterine Cavity ◽  
High Sensitivity ◽  
Diagnostic Odds Ratio ◽  
Diagnostic Value ◽  
Infertile Women ◽  
Intrauterine Abnormalities ◽  
Sensitivity Specificity

Objective: Hysteroscopy is the gold standard in evaluation of uterine cavity. However, being invasive and its possible adverse effects have reduced popularity of hysteroscopy and clinicians have always been looking for a valid alternative for hysteroscopy. In the current study, we aimed to compare diagnostic value of Saline induced Sonography with HSG in diagnosis of intrauterine abnormalities. Material and Method: We performed a retrospective study on 81 infertile women who underwent hysteroscopy, SIS, and HSG at Taleghani infertility center during their IVF treatment course. Polyp, fibroids, adhesion and septate uterus were considered as abnormality. We reported agreement percent, Kappa, sensitivity, specificity, Area Under Curve, Diagnostic Odds Ratio, Positive Predictive Value, and Negative Predictive value for both SIS and HSG. Results: Total agreement between SIS and hysteroscopy was 85.1, while it was 23.4 for HSG. We also observed considerably higher Kappa for SIS (80.1%) than HSG (15.5%). Overall sensitivity and specificity of SIS for diagnosis of all type of anomaly including both uterine abnormalities and Acquired uterine pathologies was 90.1% (95% CI= 80.7, 95.9) and 90.0% (95% CI= 55.5, 99.7). Meanwhile overall sensitivity and specificity of Hysterosalpingography where hysteroscopy was considered as the gold standard was 54.9 (42.7, 66.8) and 50.0 (18.7, 81.3). Conclusion: SIS is more sensitive tools than HSG for diagnosis of intrauterine abnormalities and could be considered one of the best alternative of hysteroscopy. It provides more accurate detail diagnostic information with high sensitivity and specificity.

scholarly journals Comparison of Hysterosalpingography and Combined Laparohysteroscopy for the Evaluation of Primary Infertility

2017 ◽  
Vol 13 (4) ◽  
pp. 281-285 ◽  
Author(s):  
A. Nigam ◽  
P. Saxena ◽  
A. Mishra
Keyword(s):  
Detection Rate ◽  
False Negative ◽  
False Negative Rate ◽  
Uterine Cavity ◽  
Cervical Canal ◽  
Diagnostic Modality ◽  
Infertile Patient ◽  
Infertile Women ◽  
Intrauterine Abnormalities

Background Hysterosalpingography (HSG) is a useful screening test for the evaluation of female infertility. Laparoscopy has proven role in routine infertility work up but role of hysteroscopy in an infertile patient with normal HSG for additional information is a subject of debate. Hysteroscopy permits direct visualization of the cervical canal and the uterine cavity and thereby helping in the evaluation of shape, and cavitary lesion.Objective To detect uterine abnormalities in infertile women by various approaches i.e. HSG and hysteroscopy and evaluating the role of combining hysteroscopy with laparoscopy for the evaluation of tubo-uterine factor for primary infertility.Method One twenty eight infertile women were evaluated and HSG was performed as a basic test for evaluation of tubes and uterine cavity. Women were subjected to combined laparoscopic and hysteroscopic examination on evidence of HSG abnormalities. In absence of any HSG abnormality, women were subjected to ovulation induction for three to six months and if they did not conceive during this period they were undertaken for combined laparo-hysteroscopic evaluation.Result The positive predictive value of HSG for detecting the intrauterine abnormalities was 70% among 126 patients where the hysteroscopy could be performed successfully. The diagnostic accuracy of HSG for intrauterine abnormalities revealed false negative rate of 12.96%. The most frequent pathologies encountered by laparoscopy were tubal and/or peritoneal and were found in 68% (87/128) of women. Total 64.06% infertile women had some abnormality on laparoscopy. This detection rate has been increased from 64.06% to 71.86% on including the concomitant hysteroscopy.Conclusion HSG is a good diagnostic modality to detect uterine as well as tubal abnormalities in infertile patient. HSG and hysteroscopy are complementary to each other and whenever the patient is undertaken for diagnostic laparoscopy for the infertility, hysteroscopy should be combined to improve the detection rate of abnormalities especially in communities where there is enormous risk of pelvic infection.

Diagnostic Value of Hysterosalpingography in the Detection of Intrauterine Abnormalities: A Comparison with Hysteroscopy

2004 ◽  
Vol 183 (5) ◽  
pp. 1405-1409 ◽  
Author(s):  
Anna Roma Dalfó ◽  
Belen Úbeda ◽  
Alicia Úbeda ◽  
Montse Monzón ◽  
Ramón Rotger ◽  
...  
Keyword(s):  
Diagnostic Value ◽  
Intrauterine Abnormalities

Diagnostic value of miR-199a and miR-21 in the plasma of infertile women with dysregulated AMH levels

2020 ◽  
pp. 1-12
Author(s):  
Imen Belguith ◽  
Dhoha Dhieb ◽  
Mouna Turki ◽  
Sourour Yaich ◽  
Kais Chaabene ◽  
...  
Keyword(s):  
Diagnostic Value ◽  
Infertile Women

scholarly journals Diagnostic value of hysterosalpingography and laparoscopy for tubal patency in infertile women: a tertiary referral center experience

2020 ◽  
Vol 9 (2) ◽  
pp. 166-171
Author(s):  
İsmet Hortu ◽  
Seda Akgün Kavurmacı ◽  
Gökay Özçeltik ◽  
Elif Karadadaş ◽  
Fırat Ökmen ◽  
...  
Keyword(s):  
Diagnostic Value ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Tubal Patency ◽  
Referral Center ◽  
Infertile Women

scholarly journals The Prevalence and Pattern of Abnormal Hysteroscopy Findings among Subfer-tile Patients at Albayda Fertility Centre/Libya

2020 ◽  
Vol 35 (1) ◽  
pp. 37-45
Author(s):  
Agzail S Elhddad ◽  
Zamzam Shaban
Keyword(s):  
Prospective Study ◽  
Uterine Cavity ◽  
Endometrial Polyps ◽  
Infertile Women ◽  
Spontaneous Pregnancy ◽  
Uterine Septum ◽  
Diagnostic Hysteroscopy ◽  
Intrauterine Abnormalities ◽  
A Prospective Study

To estimate the prevalence and types of intrauterine abnormalities in subfertile women: a prospective study was carried out at Albayda Fertility Teaching Centre-Libya. The study was conducted on 115 infertile women attending Albayda Fertility Centre between January and May 2019. Diagnostic hysteroscopy was conducted after initial basic infertility assessment workup to assess the presence and types of uterine cavity pathologies. The duration of infertility ranged from 1-17 years, and the majority of the patients were presented with primary infertility (62.6%), 64.3% of the women had abnormal findings, and the most common lesion detected was endometrial polyp representing 44.6% of the lesions, followed by endometritis 17.6%. Seven cases had septum, and 20 patients had more than one pathology. Corrective measures were taken accordingly. 6.1% of the patients had a spontaneous pregnancy within three months of follow up. The prevalence of abnormal hysteroscopy findings among the studied population was high. Intrauterine endometrial polyps, endometritis, and uterine septum were the most frequent abnormality detected. These findings may indicate a need to incorporate hysteroscopy in the routine evaluation of infertility.

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