Pregnancy outcome can be improved by saline sonosalpingography in infertile women

Introduction: Sonosalpingography (SSG) is a method for diagnosis mainly used for assessing fallopian tubes patency. It is a method of screening for infertility assessment. There are many causes of infertility, including some that medical intervention can treat. 20–35% cases of infertility are due to female infertility. Tubal cause the tubal factor accounts 30 % of causes. The aim of study to help female with undiagnosed infertility by hydrotubation using saline sonosalpingogram and eliminate reversible obstructive causes and hostile components to getting spontaneous pregnancy. Method: Prospective study including 180 infertile patient. The period of study from 2017 to 2019. The examination procedure was explained to the patient, then after bladder emptying in lithotomy position, transvaginal sonography carried out by using (transvaginal volume probe for assessment of uterus, endometrial cavity and both adnexa for any evidence of pelvic abnormality before starting saline infusion. Results: mean age of females is 30 ± 7 years old, with duration of fertility 5 ± 4 years.47.3% of females within age group 25-34 years old. (53.7%) of females with para 0, (13.8%) with para 1.88% of females with no abortion. 95.2% of females with normal shape uterus. According to duration of infertility; 30.85% of females with infertility more than 6 years. 44.7% of females with primary infertility while 55.3% with secondary infertility, 29.3% of females with not patent tubes while 70.7% with patent tubes, 76.6% of females with negative pregnancy test while 23.4% with positive pregnancy test. There is no significant association between pregnancy test results with age groups of females and types of fertility these mean age groups and infertility types not effect on results. While there is significant association between pregnancy test results and tubal patency after US; 28.6% of patent tubes with positive pregnancy test. Conclusion: saline sonosalpingogram use for primary diagnosis of tubal patency, tubal may remove tubal obstruction and detect intra cavitaory lesion that lead to increase in spontaneous pregnancy rate.