Female Infertility Clinical Trial
Official title:
A Prospective Study Comparing Three-dimensional Ultrasonography Versus Hysteroscopy in Evaluation of Uterine Cavity in Infertile Women
Hysteroscopy has now become a gold-standard technique carried out for uterine cavity
assessment in infertile women. Apart from direct visualizing of the endometrium by the naked
eye, pathologies missed by other modalities of investigation can be picked up and managed
appropriately. Unfortunately, the procedure itself is not free from complications e.g.
perforation, cervical laceration, bleeding, limited access in cases of cervical stenosis and
considered as an invasive procedure.
Two-dimensional transvaginal ultrasonography (2D-TVS)and Three-dimensional TVS (3D-TVS) are
non-invasive methods for evaluating the uterine cavity. The3D-TVS is superior to 2D-TVS in
identifying uterine cavity abnormalities due to its ability to obtain a view of three
different planes of the uterus, which could be used to locate the position of intracavitary
pathology. Reports vary regarding the diagnostic accuracy of 3D-TVS that was reported to have
41.3-81.5% sensitivity and 94.6-98.7% specificity. So it became clear that 3D-TVS is a
non-invasive and safe diagnostic tool for evaluation of the uterine cavity abnormalities but
its sensitivity, specificity and accuracy still a matter of debate and warrants more
evaluation.
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