SALINE INFUSION SONOGRAPHY IN EVALUATION OF SUBFERTILE WOMEN AND ITS EFFECT ON REPRODUCTIVE OUTCOME.

Infertility treatment requires a high-quality service. Initial evaluation of tubal patency and uterine pathology in a cost-effective manner was required to improve treatment success. This study was conducted to evaluates the benefit of saline infusion sonography (SIS) compared to hysterosalpingography (HSG) during assessment of tubal patency and uterine pathology in subfertile women. Prospective interventional clinical trials were applied to 200 (18-35 years of age) women during their infertility evaluation. A questionnaire was used to gather data. SIS performed at cycle day 6-9, checking for tubal patency and uterine endometrial pathology, such as the presence of polyps, fibroids, and congenital uterine anomalies. SIS diagnosed bilateral tubal closure in (7.5%), while previously tried HSG had a higher rate of tubal closure (9.5%), with an extra number of cases was due to false positive as a result of tubal spasm (p 0.371). SIS predict tubal closure with agreement rate of 78.9%, discordance rate of 99.4%, the positive percent agreement value was 93.7%, and the negative percent agreement value was 97.2%. SIS provided more accurate results in diagnosing tubal closure and endometrial pathology than HSG, as SIS had fewer false diagnoses of tubal closure and was more accurate in detecting polyps and fibroids that had been missed by HSG.