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Abstract We aim to evaluate the role of sonohysterography in detection of uterine abnormalities and comparing these findings with those obtained on the basis of hysterosaplingography, using hysteroscopy as a gold standard technique. In conclusion: Sonohysterography is an easier, less expensive, safer and better tolerated alternative to diagnostic hysteroscopy for patients with uterine filling defects noted on HSG. There was 100% correlation between hysteroscopy and synohysterography. Sonohysterography is an excellent diagnostic tool, highly sensitive and specific as a high as the hysteroscopy. It can be used as a preliminary test for screening the patients who are candidate for operative hysteroscopy examination will not need further evaluation by hysteroscopy. Sonohysterography gives an accurate impact about the endometrial cavity and its abnormalities also it can detect tubal patency by presence of fluid in Douglas pouch but can’t detect whether that both tubes are patent or not. In patients who don’t require assessment of tubal patency, sonohysterography can replace HSG to evaluate the uterine cavity in patients with infertility and recurrent pregnancy loss. With more advances, colour Doppler can be used together with sonohysterography and so can be used in detection of tubal patency and completely replace HSG. |