Role of Hysterosonography in Assessment of Uterine Causes of Pre- and Postmenopausal Bleeding

Objective: To measure the diagnostic values of Saline Infusion sonohysterography (SIS) in diagnosis of uterine causes of pre- and postmenopausal bleeding. Design: Descriptive study. Patients: A total of fourteen patients sixteen of which were post-menopausal and the remaining twenty four were premenopausal. Settings: Suez Canal University Hospital, radiology department. Results: Saline infusion Sonohysterography (SIS) was found to be highly sensitive and specific in diagnosis of endometrial polyps, endometrial carcinoma, endometrial hyperplasia and submucous fibroids as compared to that of transvaginal sonography. Although (SIS ) had similar accuracy in diagnosis of endometrial carcinoma, submucous or intramural fibroid as well as endometrial atrophy to that of (TVS) with respect to being slightly lower, it represents a considerably higher values of accuracy in the diagnosis of either endometrial hyperplasia or endometrial polyps. SIS found to have almost negligible complication. Conclusion: With its higher sensitivities, specificities, positive and negative predictive values, SIS can be better used than TVS in evaluating those patients with abnormal uterine bleeding, as TVS often does not provide the physician with sufficient diagnostic information.