Diagnostic Accuracy of Transvaginal Sonography in Adenomyosis Taking Histo- pathology as Gold Standard in Infertile Women

Abstract

Objective: To assess the accuracy of transvaginal sonography in the detection of adenomyosis, with histopathological examination serving as the gold standard, among a population of women struggling with infertility. Material and Methods: In this study, a group of 193 women with infertility & suspected adenomyosis was included. Each subject was examined using transvaginal ultrasound, followed by surgical interventions such as dilatation and curettage, accompanied by detailed follow-up assessments. The effectiveness of transvaginal sonography in identifying adenomyosis was evaluated by comparing it to the histopathological diagnosis. Results: Histopathological analysis confirmed adenomyosis in 162 (83.9%) of the 193 patients, whereas transvaginal sonography identified 151 (78.2%). The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of transvaginal sonography in diagnosing adenomyosis were calculated to be 90.74%, 87.10%, 97.35%, 64.29%, and 90.16%, respectively. Conclusion: Transvaginal sonography demonstrates considerable sensitivity and specificity in diagnosing adenomyosis, obviating the necessity for supplementary diagnostic investigations.