The hysterosonography in the study of the bled

Hysterosonography (HS) is the sterile saline infusion on the endometrium under sonographic control, to localize any uterine abnormalities to the endocavitary space, and determine endometrial or submucosal origin. Forty patients had HS, with hysteroscopic correlation on 23 patients. Fourteen patients were on reproductive age (Group I) and 9 were peri menopausal (Group II), all of them with abnormal uterine bleeding. Diagnostic accuracy of HSG on Group I was of 92.8%, and 100% on Group II patients. For Group I patients, the main abnormalities were endometrial polyps, submucosal myomas, septae and adherences. For Group II patients, the most frequent findings were polyps and submucosal myomas. We conclude that HS increases the specificity of trans vaginal ultrasound in the characterization of abnormalities of the endometrial cavity, and can establish which require hysteroscopy or other diagnostic or therapeutic methods