title: Comparison of sonography, sonohysterography, and hysteroscopy for evaluation of abnormal uterine bleeding.
abstract: We compared transvaginal sonography, sonohysterography, and diagnostic hysteroscopy in the evaluation of abnormal uterine bleeding, Sixty-eight women 40 or older with abnormal uterine bleeding were assigned to undergo either transvaginal sonography or sonohysterography. All subjects then had diagnostic hysteroscopy and endometrial biopsy. Patients with abnormal findings underwent operative hysteroscopy or definitive therapy. Transvaginal sonography, sonohysterography, and diagnostic hysteroscopy revealed a sensitivity of 95%, 90%, and 78%, and a specificity of 65%, 83%, and 54%, respectively. The average cost for transvaginal sonography of sonohysterography was $195 and the cost for diagnostic hysteroscopy was $675. Transvaginal sonography and sonohysterography are cost-effective alternatives and more sensitive diagnostic tests than office diagnostic hysteroscopy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, USA.
authors.forename: M H
authors.initials: MH
authors.lastname: Saidi
authors.forename: R K
authors.initials: RK
authors.lastname: Sadler
authors.forename: V D
authors.initials: VD
authors.lastname: Theis
authors.forename: B D
authors.initials: BD
authors.lastname: Akright
authors.forename: S A
authors.initials: SA
authors.lastname: Farhart
authors.forename: G R
authors.initials: GR
authors.lastname: Villanueva
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000191:economics; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography / Q000191:economics; D014592:Uterine Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D014599:Uterus / Q000000981:diagnostic imaging*