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Volume 3
Journal of Reproductive Biology and Endocrinology
WCGO2019
May 13-14 , 2019
Gynecology and Obstetrics
May 13-14 , 2019 Tokyo, Japan
2
nd
World Congress on
Uterine cavity abnormalities in patients with endometriosis in alexandria: A diagnostic
test accuracy study
Eman Aly Abd El Fattah
Alexandria Faculty of Medicine, Egypt
E
ndometriosis occurs in 10% of women during the reproductive years It has been classified into superficial,
deep and ovarian. It commonly presents between 25 and 29 years It is strongly associated with infertility,
which is attributed to distorted adnexal anatomy, interference with oocyte development or early embryogenesis
or reduced endometrial receptivity. Several studies have suggested an impairment of implantation which may
be due to intrinsic deficiencies within the uterus, structural or ultra- structural defects. Endometrial plops are
common gynecological disorder whose prevalence is increased in infertile women. The exact pathogenesis
of these polyps is not yet known, but the similar pathological characteristics with endometriosis suggest a
possible association. Anatomical uterine malformations are also linked to endometriosis. Uterine septum
results in colicky uterine peristalisis and increased menstrual regurgitation through the fallopian tubes.
Hypoplastic uterus may be also associated. Both hysterosalpingogram and transvaginal ultra- sonography are
used to diagnose endometrial lesions but sometimes they are not enough. Hysteroscopy, the gold standard
for evaluation of uterine causes of infertility, can detect small lesions that might not otherwise be detected by
other methods. In the recent years office hysteroscopy has been preferred to operative hysteroscopy in routine
evaluation of the endometrial cavity. Recently 4-D ultrasonography is being used for the same purpose but it
is not yet established which is superior. In this study we aim to compare between 4-D ultra- sonography and
office hysteroscopy in evaluating uterine cavity in cases with endometriosis.
eman0eman0eman7@Gmail.comJ Reprod Biol Endocrinol, Volume 3