الفهرس | Only 14 pages are availabe for public view |
Abstract This study was carried out at Menoufiya University Hospitals and Ain shams University Hospitals The study was performed to determine whether performing TVS before hysteroscopy will reduce the use of diagnostic hysteroscopies for evaluation of uterine cavity pathologies. TVS and hysteroscopy was done for 60 women with primary and secondary infertility to diagnose uterine cavity abnormalities. The evaluation was scheduled during the follicular phase (postmenstrual) days 5 to 10. from this study, the normal endometrial findings by hysteroscopy was lower than TVS (% 55 versus 75%) while the total pathological findings by hysteroscopy was higher than TVS (45% vesus 25%). Concerning this study, TVS diagnose 8 cases with polyps missed 3 cases, 5 cases of fibroids missed 2 cases, 2 cases of IUA, However, diagnostic hysteroscopy did not miss any of these cases. The diagnostic performance of TVS for endometrial polyps were 73.3%, 89.8%, 70.3%, 84.2% respectively for TVS as regarding the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) . For submucus fibroids, the diagnostic performance of TVS were (81.4%, 94.3%, 80%, 90% .However, the diagnostic performance of TVS for intrauterine adhesions was (50%, 100%, 100%, 96.5%). Hysteroscopy was the gold standard diagnostic tool in diagnosis, with 100% sensitivity and 100% specificity for detection of all uterine pathologies. No complication had occurred to any case, patient is then informed if they need any other intervention before IVF or not. |