Compartive Study Between the Role of Three-Dimensional Transvaginal Sonography, Saline Infusion Sonohysterography and Hysteroscopy in Assessment of Uterine Cavity in Infertile Patients

Background: Gynecology research has focused on uterine abnormality detection. An essential function for structural abnormalities in the uterus cavity, such as fibroid, polyp, synechiae, and Müllerian duct anomalies (MDAs), in infertility, implantation failure, and pregnancy outcome may be identified. Aim and objectives: To assess if saline infusion sonohysterography (SIS) and three-dimensional transvaginal ultrasonography (3D TVS) are more accurate in diagnosing various intrauterine diseases as potential causes of infertility failure than hysteroscopy. Patients and methods: The Department of Obstetrics and Gynecology at El-Hussin University hospital did this compared cross-sectional study on 300 women who went to the outpatient gynecologic clinic because they were having trouble getting pregnant. Results: There were 223(74.3%) of patients with a normal endometrial cavity, 13(4.3%) of patients with Congenital uterine anomalies, 33(11%) of patients with the endometrial polypoid lesion, 7(2.3%) of patients with intrauterine adhesion and 24(8%) of patients with submucosal myoma. While in hysteroscopy, there were 221(73.7%) patients with a normal endometrial cavity, 14(4.7%) patients with Congenital uterine anomalies, 31(10.3%) patients with endometrial polypoid lesions, 8(2.7%) patients with Intrauterine adhesion and 26(8.7%) of patients with Submucosal myoma. Conclusion: 3D TVS is cost-effective and efficient and may be used in many environments. 3D sonography is highly accurate in detecting most uterine abnormalities. Therefore, the regular utilization of three-dimensional transvaginal sonography (3D TVS) is a highly accurate technique for assessing any lesions or anomalies in the endometrial cavity.