Infertility Clinical Trial
Official title:
Sonohysterography and 3D Ultrasonography Versus Diagnostic Hysteroscopy in Assessment of Uterine Factor in Cases of Female Infertility
Prospective comparative study including 100 infertile patients with suspected uterine lesion. 2D ultrasound, sonohysterography , 3D ultrasound and hysteroscopy will be done to evaluate uterine cavity.
All patients will be examined by 2D transvaginal ultrasound using a 6.5 MHz probe (Sonoace
5000, Medison Co. Ltd, korea). Examination is performed after emptying of the bladder in
dorsal lithotomy position.
Three dimensional ultrasound will be performed using Medison, Voulson 530 D-MT ultrasound
machine (Medison Co. Ltd, Korea). The uterus is visualized in the longitudinal plane, the
ultrasound probe is kept steady and the patient is asked to lie still on the examination
bed.
Sonohysterography will be done after introduction of the catheter into the cervix, a twenty
milliliter syringe which is prefilled with the distending media (saline) is then fitted to
the catheter. The speculum is removed and endovaginal probe is introduced in the posterior
vaginal fornix. The uterus is then visualized in the longitudinal plane to demonstrate the
endometrial cavity and the catheter. Once this is possible, sterile saline is slowly
injected through the catheter into the uterine cavity; up to ten milliliter of saline is
usually enough for the procedure.
Hysteroscopy will be done under general anesthesia. The hysteroscopy is rigid continuous
flow diagnostic hysteroscopy . It has a 30º panoramic optic which is 4 mm in diameter and
the diagnostic continuous flow outer sheath is 6.5 mm in diameter.
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