An overview of the results of hysterosonography prior to in vitro fertilization
| Autor: | Aluísio Mendes da Rocha Filho, Eleonora Araújo Barbosa, Joaquim Roberto Costa Lopes, Natalia Ivet Zavattiero Tierno, Mariana Fonseca Roller, Vinicius Medina Lopes, Anna Luíza Moraes Souza, Jean Pierre Barguil, Thaísa Sant'Anna Lacerda |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Uterine synechiae
Adult medicine.medical_specialty medicine.medical_treatment Uterus uterine synechiae Fertilization in Vitro Endosonography endometrial polyp Polyps submucous myomas medicine Endometrial Polyp Humans Hysterosalpingography Hysterosonography Retrospective Studies Uterine Diseases hysteroscopy In vitro fertilisation medicine.diagnostic_test Leiomyoma business.industry hysterosonography medicine.anatomical_structure Hysteroscopy IVF Uterine Neoplasms Female Original Article Uterine cavity Radiology business |
| Zdroj: | JBRA Assisted Reproduction |
| ISSN: | 1518-0557 |
| Popis: | OBJECTIVE This study aimed to analyze the results of hysterosonography performed prior to in vitro fertilization (IVF) and to correlate anomalous findings with hysteroscopy. METHODS Findings from 197 hysterosonograms of patients examined in an assisted reproduction clinic between January 2012 and August 2014 were included. Enrollment criteria: patients in preparation for IVF not recently submitted to uterine examination through hysterosalpingography or hysteroscopy referred to hysterosonography. Uterine cavity evaluation was considered anomalous when one or more of the following were found: polyps, submucous myomas, uterine synechiae, Mullerian duct anomalies. Individuals with cavity abnormalities that might interfere with IVF results were referred to hysteroscopy. RESULTS Normal test results were seen in 170/197 of the cases (86.3%). Eighteen of the 197 cases (9.1%) were suspected for polyps, two (1%) for submucous myoma, six (3.5%) for synechiae, and one (0.5%) for Mullerian duct anomalies. Sixteen of the patients diagnosed with abnormalities underwent hysteroscopy to confirm or treat the suspected pathology. In only two cases there was no agreement between tests: one patient suspected for synechiae and another for polyps were not confirmed; another individual suspected for polyps was found to have focal endometrial thickening in hysteroscopy. The positive predictive value (PPV) in our study was 93.7%. CONCLUSION In most cases, the diagnoses obtained by hysterosonography showed normal uterine cavities. The most common anomalous findings were polyps, followed by synechiae, submucous myoma, and Mullerian duct anomalies. Hysterosonography is a good option for evaluating the uterus and offers a high positive predictive value, while hysteroscopy stands as the gold standard. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|