Diagnostic Accuracy of Transvaginal Sonography in Infertile Patients with Endometrial Polyps

Niknejadi, Maryam; Ahmadi, Firoozeh; Zafarani, Fatemeh; Khalili, Gholamreza; Ghaderi, Farahnaz; Rashidi, Zohreh

doi:10.22074/ijfs.2010.45792

Diagnostic Accuracy of Transvaginal Sonography in Infertile Patients with Endometrial Polyps

Document Type : Original Article

Authors

¹ Reproductive Imaging Department, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

² Epidemiology and Reproductive Health Department, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

10.22074/ijfs.2010.45792

Abstract

Background
To evaluate the diagnostic accuracy of transvaginal sonography (TVS) in infertile patients and compare its results with hysteroscopy as the gold standard.

Materials and methods
A total of 679 infertile women who underwent both TVS and diagnostic hysteroscopy were retrospectively investigated. TVS was performed in the mid-follicular phase (days 5-8) of their cycles. Sensitivity specificity and positive and negative predictive values were calculated for TVS.

Results
Hysteroscopy diagnosed endometrial polyps in 197 out of 679 cases (24.5%). TVS confirmed the hysteroscopy findings in 174 of 197 (88.3%) cases. The sensitivity specificity and positive and negative predictive values of TVS compared to hysteroscopy in the detection of endometrial polyps were 88.3% 91.9% 81.6% and 90.8% respectively.

Conclusion
TVS is both a cost-effective and non-invasive method for the diagnosis of intrauterine lesions such as polyps. When used in conjunction with a saline infusion it can be a proper alternative for diagnostic hysteroscopy that saves time and enables the surgeon to perform the operative hystroscopy procedure with greater accuracy.

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