Correlation between Trans-Vaginal Ultrasound and Endoscopy in Infertility

ABSTRACT

Introduction: Infertility is defined as inability to conceiveafter one or more years of unprotected intercourse. Thisstudy was taken up to evaluate the correlation of transvaginal ultrasound with endoscopies both hysteroscopy andlaparoscopy in the evaluation of infertile patients.Material and methods: A prospective study was carriedout in the department of Obstetrics and Gynaecology, MMMedical College and Hospital, Kumarhatti, Solan, HP, Indiafor a period of 6 months from October 2017 to March 2018conducted on 50 subjects.Results: 50 patients were evaluated with diagnosis of primaryand secondary infertility. TVS (Transvaginal scan) showedabnormal findings correctly in 38% of cases, and 62% caseswere undiagnosed. Hysteroscopy showed alterations in 58%cases, predominantly uterine synechiae and endometrialpolyp. There were no complications during hysteroscopy.Diagnostic Laparoscopy showed, normal pelvic findings andpatent tubes in 30% cases of primary infertility and 8% casesin secondary infertility.Conclusion: Hystero-Laparoscopy is better than TVS alonefor the diagnosis of infertility pathology as its diagnosis ismore précised and we can treat them simultaneously, butstill TVS remains the best non-invasive method for study ofuterine as well as adnexal pathology in infertility.