Saline perfusion sonography and transvaginal sonography in abnormal uterine bleeding

Abstract

Transvaginal sonography (TVS) and saline infusion sonograpoy (SIS) or sono hysterography are the simple ultrasound procedure that may be used to evaluate the endometrium. 70 patients were studied by TVS and SIS and the results were compared with standard hysteroscopy and biopsy. TVS could diagnose atrophic, normal, malignancy in endometrium but at times could not delineate between hyperplasia and polyp. TVS had advantage of being non-invasive, cost-effective and bleeding episodes did not interfere with the test. The saline infusion sonography, an extension of TVS had a sensitivity and specificity of 94.2% and 97.3% respectively in cases of abnormal uterine bleeding. SIS is an accepted procedure of choice but it was not possible to do if there was heavy bleeding prior to procedure.