SONOHYSTEROGRAPHY COMBINED WITH SONOSALPINGOGRAPHY - CORRELATION WITHENDOSCOPIC FINDINGS IN INFERTILITY PATIENTS

The diagnostic accuracy of sonohysterography combined with sonosalping ography or sonohysterosalpingography was evaluated in 100 infertility patients who also underwent endoscopic (hysteroscopy with or without l aparoscopy) procedures. in patients with normal endometrial biopsy res ults, single endometrial layer thickness ranged from 3 to 5 mm and var ied up to 2 mm in some areas. Diagnostic accuracy was 98% for submucos al fibroids, 96% for polyps, and 81% for synechiae. Missed lesions wer e less than 2 mm in diameter. Tubal patency was successfully assessed in 79% of women with saline solution and in 92% of those who received contrast agent. This study demonstrates the efficacy of the combined u se of SHG and SSG in infertility patients with uterine or tubal factor disorders.