SONOHYSTEROGRAPHIC EVALUATION OF UTERINE ABNORMALITIES NOTED ON HYSTEROSALPINGOGRAPHY

Transvaginal sonohysterography was performed on 40 consecutive patient s with infertility or recurrent pregnancy loss and uterine abnormaliti es on hysterosalpingography. The findings were correlated with the hys terosalpingogram and subsequent diagnostic and/or operative hysterosco py. Hysterosalpingography was incorrect in nine cases. Sonohysterograp hy was more accurate than hysterosalpingography and provided more info rmation about uterine abnormalities. Sonohysterography was in complete agreement with hysteroscopy. Diagnostic hysteroscopy can therefore be avoided if the sonohysterogram is normal. Sonohysterography also prov ides additional information on the relative proportion of the intracav itary and intramyometrial components of submucus myomas, as well as ex tracavitary myomas and the adnexae. This may help in planning the surg ical procedure.