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WS03‐05Ultrasound based simplified infertility investigation
Author(s) -
Granberg S.,
Hauge K.,
Flo K.,
Riedhart M.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00009-1-19.x
Subject(s) - medicine , hysteroscopy , ultrasound , laparoscopy , infertility , medical diagnosis , gold standard (test) , semen analysis , radiology , gynecology , pregnancy , biology , genetics
Objectives To compare the use a simplified ultrasound based infertility investigation of the infertile couple with the current use of laparoscopy and hysteroscopy. Study design Thirty‐three infertile couples underwent transvaginal ultrasound and hystero‐salpingo‐contrast‐sonography. A diagnosis was formulated based on the results of the ultrasound investigations, a semen analysis and endocrine parameters. The following day all subjects underwent a laparoscopic chrompertubation and hysteroscopy by a surgeon unaware of the ultrasound findings. A diagnosis based on the findings at laparoscopy and hysteroscopy, the same semen analysis and endocrine parameters, was then made. The two diagnoses were compared. Results A 90.9% agreement was found between the diagnoses made from the two methods used. When considering laparoscopic diagnosis the Gold Standard of tubal patency, the sensitivity to diagnose occluded tubes using hystero‐contrast‐sonography was 92.8%. The corresponding figures for specificity, PPV and NPV were 96.2%, 92.8% and 98.1%, respectively. Conclusions A simple, ultrasound based approach to investigate the infertile couple, can be used effectively as an initial examination modality during the couple's work‐up. However, there is a need for a larger study to confirm these results.