Question

Infertility patient-USG s/o uterine anomaly. Best to confirm

• A. TVS
• B. Hysteroscopy + Laparoscopy
• C. HSG
• D. Laparoscopy

Answer 1

The Correct Option is B

To confirm a uterine anomaly diagnosed via ultrasound (USG) in an infertility patient, the most effective method is a combination of hysteroscopy and laparoscopy. Here's why this option is preferred:

• Ultrasound (USG): A non-invasive technique that initially suggests anomalies but lacks the ability to provide detailed internal views or confirm some complex anomalies.
• TVS (Transvaginal Sonography): Enhances USG but still has limitations in fully confirming and visualizing anomalies.
• HSG (Hysterosalpingography): Provides an X-ray image of the uterus and fallopian tubes using a dye, helpful in detecting anomalies, but not as comprehensive or direct as hysteroscopy and laparoscopy.
• Laparoscopy: A surgical procedure allowing direct visual inspection of the pelvic organs, including the uterus, but doesn't allow inspection of the uterine cavity.
• Hysteroscopy + Laparoscopy: This combination provides the most comprehensive evaluation. Hysteroscopy allows direct visualization and assessment of the uterine cavity, while laparoscopy enables inspection of the exterior of the uterus and related pelvic structures, offering a complete assessment of uterine anomalies.

Therefore, Hysteroscopy + Laparoscopy is the best option for confirming uterine anomalies detected in an infertility patient by USG as it provides both intrauterine and extrauterine evaluation, making it a definitive diagnostic approach.