Comparative Study between 3D Sonography and Hysteroscopy in Assessment of Uterine Cavity of Infertile Women

Introduction: Due to uterine anatomical anomalies, primary infertility, subsequent infertility, and recurrent pregnancy loss are common in Egypt. Uterine causes of infertility including uterine anomalies are common. Both 3D ultrasonography and hysteroscopy had a diagnostic challenge for uterine anomalies. Aim: From 3D ultrasound to hysteroscopy which is more accurate in assessment of uterine cavity of infertile women?. Patients and methods: 100 women who were thought to have uterine reasons of infertility participated in this prospective randomized experiment. They were all submitted to a clinical examination, a history interview, an ultrasound, and a hysteroscopy. Results: Hysteroscopic examination of the included women; 42% had abnormal hysteroscopy in the form of sepatate uterus (14%), polyp (12%), adhesions (3%), arcuate uterus (3%), complete septum (3%), supseptate (2%), Asherman S (1%), and periosteal fibrosis (1%), while, 3D ultrasonography results of the included women; as 49% had abnormal US in the form of, polyp (15%), septate uterus (14%), leiomyoma (7%), bicornuate uterus (6%), arcuate uterus (3%), unicornuate uterus (2%), adhesions (1%), and Asherman S (1%). With a p-value of