Shehnaz Hansoti
King Fahad Medical City, Saudi Arabia
Title: Prevalence of Uterine Abnormalities as detected by 3D Saline Contrast Sono-Hysetrography in Sub-fertile Women Compared with Fertile Women: A cohort Prospective study
Biography
Biography: Shehnaz Hansoti
Abstract
Objectives: The purpose of this study is to determine the prevalence of uterine abnormalities in sub fertile women compared with fertile women with abnormal uterine bleeding (AUB) as determined by 3 dimensional trans-vaginal scan (3D TVS) and saline contrast sonohysterography (3D SCSH) in Saudi women.
Design: Prospective cohort study
Setting: The ultrasound department, the Reproductive Endocrinology and Infertility in Medicine Department (REIMD) and AUB clinic of Women's Specialized Hospital (WSH), King Fahad Medical City (KFMC), Riyadh, Kingdom of Saudi Arabia.
Population or Sample: Total of 2,224 women were included in the study from June 2013 to June 2015, of which 1,477 (66.41%) were recruited from REIMD clinic and 747 (33.59%) from AUB clinic.
Out of 1,477 sub fertile women, 159 (10.76%) required 3D SCSH. Whereas out of 747 women from fertile AUB group 110 (14.72%) required 3D SCSH. Total of 256 patients successfully underwent 3D SCSH from both group. No complication or difficulty were encountered
Methods: An initial clinical assessment was made and 3D TVS was performed in the ultrasound unit of WSH. All those women who were found to have uterine abnormalities, either endometrial pathology or congenital mullerian anomaly were further referred for 3D SCSH.
Results: The difference of prevalence of uterine abnormalities diagnosed by trans-vaginal scan in both groups, sub fertility (n=1477) and fertility with AUB (n=745) were found to be highly Significant (P <000).