3D ULTRASOUND VERSUS OFFICE HYSTEROSCOPY IN UTERINE CAVITY ASSESSMENT IN CASES OF UNEXPLAINED INFERTILITY.

Evaluation of the uterine cavity is an important step in the investigation of infertile women. Hysteroscopy is considered the gold standard diagnostic modality and is invasive; therefore, an investigation that overcomes its limitations is needed. 3D transvaginal ultrasound (3D TVS) can non-invasively visualize uterine morphology and simultaneously record all three imaging planes, an alternative to hysteroscopy.AIM OF THE WORK:The aim of this study was to compare the diagnostic accuracy between 3D ultrasound and office hysteroscopy to evaluate uterine cavity in cases of unexplained infertility.PATIENTS AND METHODS:This study was carried out on 80 infertile female patients suffering for unexplained infertility recruited from the infertility clinic of El- Shatby University Maternity Hospital between April 2021 to October 2021. All cases underwent transvaginal ultrasound and the uterus was examined in longitudinal and transverse plane (2D and 3D transvaginal ultrasound), and office hysteroscopy examination was done for all cases. RESULTS:In Hysteroscopy, there were 51.3% with Overall abnormality, 18.8 % with Endometrial Polyp, 10.0% with Submucous myoma, 7.5% with Adhesions, 8.8% with Chronic endometritis, 2.5 % with Uterine abnormality, 2.5% with ostia abnormality, 1.3% with Adenomysis.