A COMPARATIVE STUDY BETWEEN SONOHYSTEROSALPINGOGRAPHY AND HYSTEROSALPINGOGRAPHY IN THE EVALUATION OF INFERTILITY

CORRESPONDING AUTHOR
Beenamol.  S.
Assistant Professor,
Department of Radiodiagnosis,
Medical College, Trivandrum, Kerala,
E-mail: beenamols@gmail.com, saanidamp@yahoo.co.in
Ph: 0091 9995141899, 0091 9495629592

ABSTRACT: OBJECTIVES: Evaluation of uterus, fallopian tubes, ovaries and adnexa with the help of trans-vaginal ultrasonography, and to evaluate the efficacy of SSG as compared to HSG in detecting fallopian tube patency. MATERIALS AND METHODS: Prospective Study of 61 patients for two years in 20-40 yrs age groups referred to Radiology Department in  SAT hospital  presenting with primary or secondary  infertility, All the patients were evaluated with SSG and HSG. Patients with signs of acute genital inflammation or bleeding were excluded from the study. RESULTS: In all the 61 patients presenting with infertility sonosalpingograpy was performed in out of which 46 were primary infertility and 15 were secondary infertility. The detection and characterization of uterine cavity abnormalities was more accurate with SSG than by radiographic HSG. In addition, SSG could detect uterine wall abnormalities, peritoneal abnormalities and ovarian abnormalities which could not be detected on HSG CONCLUSION: Sonohysterosalpingography (SSG) is an effective method for detecting fallopian tube patency. It has a sensitivity of 100% and a specificity of 84% with respect to Hysterosalpingography (HSG).The absence of radiation and the fact that it can be performed as an outpatient procedure makes SSG an excellent screening test for evaluation of infertile women.
KEY WORDS: Sonohysterosalpingography, infertility imaging, tubal patency tests