Abstract
Background: To perform a systematic review to examine all the available literature reporting to describe the Structural intrauterine abnormalities are an important cause of infertility, recurrent pregnancy loss and bleeding or pain associated with a poor reproductive outcome. Various diagnostic methods have been applied to detect these lesions such as hysterosalpingography, hysteroscopy and Sonohysterography. Materials and methods: In this systematic review data extracted by Medline, PubMed, science direct and Obs gyne online library that were queried for studies published between 2000 to 2020 by using specific MeSH terms. In this reviewed article we extracted data from 15 retrospective Cohort studies in which 3800 infertile women underwent SIS procedure. Infertile women were screened for possible uterine pathologies. Results: In this systematic review we reviewed 15 article that was published between 2000 to2020. Extracted data from these reviewed articles showed Two thousand infertile patients examined by saline infusion Sonography. From these 2000 patients 1400 women diagnose with abnormalities. Conclusion: Saline infusion sono-hysterography was found to be a more reliable method of diagnosing tubal or uterine pathologies in infertile patients.it is cost effective and gold standard. Keywords: Intrauterine, Pathology, Sonohysterography, Saline infusion sonography DOI: 10.7176/JHMN/90-03 Publication date: June 30 th 2021
Highlights
Infertility is a problem that is increasing day by day
Infertile women were screened for possible uterine pathologies.Results: In this systematic review we reviewed 15 article that was published between 2000 to2020
Infertile women was screened for possible utrine pathologies. 1.1.1 Discussion Rubina Izhar Et al (2019) conducted a study on “Diagnostic accuracy of Saline Infusion sonohysterosalpingography (SIS) as compared to Hystero-salpingography (HSG) in the assessment of sub-fertile women” in a private infertility clinic in Karachi, and comprised women who registered for assessment of infertility from June 2011 to May 2013
Summary
Infertility (subfertility) is a problem that is increasing day by day. According to World Health Organization reports. College of Radiology (ACR) and the American Institute of Ultrasound in Medicine (AIUM), developed a technology assessment document for saline infusion sonography.[7,8] According to the AIUM’s recommendations, SIS will aid evaluation of the uterine cavity in a number of conditions.[9] The indications related to subfertility include:. Deflation of the balloon at the end of the procedure and further instillation of saline before the catheter comes out ensure an adequate view, of the lower uterine cavity and cervical canal.[11] SIS can be performed with conventional two dimensional (2D) or 3D ultrasound. Technical difficulties can arise during SIS due to inability to pass the catheter through the cervix in women with cervical stenosis (failure rate 1.8–6%).[14,15] A clear image of the endometrial interface is obtained with the proper amount of intrauterine saline infusion
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