Role of Sonohysterography in Evaluatingthe Spectrum of Endometrial Pathologies
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Aim: To evaluate the endometrial pathologies with saline infusion sonohysterography, where ultrasound showed nonspecific endometrial thickening. Proposed Materials And Methods: We studied 50 perimenopausal patients with non specific endometrial thickening on transvaginal ultrasound using saline infusion sonohysterography. A GE pro5 ultrasound machine was used with high resolution 7.5MHZ transvaginal probe. Baseline transvaginal sonography was performed and endometrial findings were recorded. Then under strict ascetic precautions, under ultrasound guidance a 5F canal was introduced upto mid cavity level and 10 to 20 ml of saline infused.The endometrial findings were recorded again. Discussion: It is very difficult to clearly delineate pathologies such as focal endometrial hyperplasia, polyp, submucosal fibroids, endometritis, endometrial adhesions and endometrial malignancies and to distinguish these from one another on a transvaginal sonography. Most of them appears as non specific diffuse focal endometrial thickening. By infusing saline and distending the cavity. We depict the pathologies more clearly and increase our diagnostic accuracy. In a premenopausal patient the diagnosis of an abnormally thickened endometrium is dependent on the phase of the menstrual cycle .In general a thickness greater than 8mm during the proliferative phase or greater than 16mm during the secretory phase is considered abnormal . The examination is best performed on the day 4, 5 or 6 of the menstrual cycle when the diameter of the endometrium should be thinnest.
Authors and Affiliations
Sureendhar Mohan, Dhivya Sri, Paarthipan Natarajan, Kiran Gottumukkala, Rajasekhar K. V.
Keywords
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