SONOHYSTEROGRAPHY VERSUS HYSTEROSCOPY FOR DIAGNOSING ENDOUTERINE ABNORMALITIES IN FERTILE WOMEN

OBJECTIVES: To evaluate the usefulness of abdominal and vaginal sonohy sterography (SHG) (considered both singly and in combination) for the diagnosis of intrauterine abnormalities. METHODS, At the Department of obstetrics and Gynecology, University of Bari, Italy, the results of the abdominal and vaginal SHG were retrospectively compared with those of conventional transvaginal sonography and hysteroscopy in 35 fertil e women in whom a hysteroscopy was indicated. The sensitivity and spec ificity for the diagnosis of intrauterine abnormalities of both kinds of SHG (considered both singly and in combination), transvaginal sonog raphy and hysteroscopy were compared; the predictive values of abnorma l and normal SHG were determined by a 2 x 2 table relating the test re sults to the patients' abnormalities shown at hysteroscopy. RESULTS: T he combination of both abdominal and vaginal SHG had a sensitivity of 95% and a specificity of 100%; the predictive value of an abnormal tes t was 100% and that of a normal test 94%. CONCLUSIONS, SHG provides a reliable diagnosis of intrauterine abnormalities. However, hysteroscop y, and guided biopsies remain the decisive diagnostic test for investi gating intrauterine abnormalities.