Evaluation of predictive factors for conception after saline infusion sonosalpingography.

OBJECTIVE

For evaluation of predictive factors of sponataneous conception after saline infused sonosalpingography (SIS).

METHOD: A prospective study was conducted from August 2023 to December 2024 at reproductive medial unit  at Mosul/Iraq.  100 women were recruited and categorized in to  two groups: pregnant after SIS   and non pregnant after SIS , for achievement of  conception, the two groups were followed for 6 months duration and their clinical characteristics were compared .

RESULTS

The group where  polycystic ovary syndrome (PCOS) positive ladies were included show the duration of infertility for  positive pregnancy test  ladies was  ≤ 2 years in 58% versus  42% > 2 years (p=0.0001),the history of cesarean section(CS) shows significant difference between pregnant and non pregnant (p=0.11). time to get pregnant after Saline -enhanced sonography  shows 79% ≤ 2 months versus 21% > 2 months. the PCOS  variable shows significant difference between pregnant women and non (p=0.037),the incidence of  pregnancy was 24% markedly  higher in first 2 months after doing the SIS equal to 79% , anti-mullerian hormone( AMH) didn’t show significant difference While in the group where PCOS positive ladies were excluded show the duration of infertility for pregnant ladies was  ≤ 2 years in 66.7% versus  33.3% > 2 years (p=0.001),the history of CS shows considerable  difference between pregnant and non pregnant (p=0.034). time neded to get pregnant after SIS shows 60% ≤ 2 months versus 40% > 2 months.,the pregnancy rate was 21.1% and notably higher in first 2 months after excuting  hydrosalpingography equall to 60%  ,AMH  show significant difference in pregnant was 1.5ng/ml versus 1.2 in non

Conclusion

The current study declare that SIS has positive effect on spontaneous conception this is must true in first two months after  doing the SIS and it encourage considering expectant management for ladies with briefer duration of infertility, good ovarian capacity and less pelvic operation history.