Hysteroscopy and 3D Ultrasound for Diagnosing Uterine Cavity Abnormalities: A Comparative Study | Chapter 03 | New Horizons in Medicine and Medical Research Vol. 7

 Hysterosalpingography (HSG), Trans Vaginal Ultrasonography (TVS), Sonohysterography (SHG), and Hysteroscopy can all be used to evaluate the uterine cavity. Endometrial polyps, submucous myomas, intrauterine adhesions, endometritis, and uterine septum anomalies can cause abnormal uterine bleeding (AUB) in the form of menorrhagia or metrorrhagia, as well as infertility. As a result, excluding intrauterine disease is critical for treating irregular uterine bleeding and infertility.

In patients with abnormal uterine haemorrhage and infertility, compare the diagnostic accuracy and efficacy of three-dimensional transvaginal ultrasonography (3D-TVS) with hysteroscopy in detecting uterine cavity abnormalities.

From January 2018 to February 2019, an observational prospective study was undertaken in the Department of Obstetrics & Gynecology at the Institute of Kidney Disease & Research Centre, Civil Hospital, Ahmedabad, India.

Material and Methods: A prospective study of 200 patients with abnormal uterine haemorrhage and infertility was conducted. The main complaint of 100 patients was abnormal uterine bleeding, while the main complaint of 100 patients was infertility. In the mid to late follicular phase of the menstrual cycle, 2D Transvaginal Ultrasonography was conducted, followed by 3D Ultrasonography and hysteroscopy. The characteristics and anomalies of the uterine cavity were identified.

Numbers and percentages were used to present qualitative data. The chi-square test was used to estimate group comparisons. Hysteroscopy detected abnormal findings in 32.5 percent of patients, while 3D Ultrasonography detected abnormal findings in 20% of patients. It was considered significant if the probability value (p value) was less than 0.01. On hysteroscopy, 14 percent of patients had endometrial polyps, compared to 7.5 percent on 3D Ultrasonography, with a p-value of 0.04.

Conclusion: Hysteroscopy is a safe and effective method for evaluating benign endometrial lesions and providing direct sight of the uterine interior. In a select circumstances, it allows for simultaneous therapy or biopsy operations, whereas 3D USG is a non-invasive tool for basic uterine and adnexal examination.

Author(S) Details

Rohina Aggarwal
Department Of Obstetrics & Gynecology, Institute of Kidney disease & Research Centre, Civil Hospital, Ahmedabad, India.

Vineet Mishra
Department Of Obstetrics & Gynecology, Institute of Kidney disease & Research Centre, Civil Hospital, Ahmedabad, India.

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