title: The evolving role of saline infusion sonography (SIS) in infertility.
abstract: Saline infusion sonography (SIS) has become a valuable diagnostic modality in gynaecology over the last three decades. SIS is now commonly employed for detailed evaluation of the uterine cavity as part of pre-treatment assessment in infertile women. The objective of this paper is review the scientific literature on SIS in infertility. Medline, Ovid and Cochrane databases were searched for relevant articles. The indications, technical aspects and the potential advantages of SIS are discussed. The efficacy and sensitivity of SIS are compared to hysteroscopy in the evaluation of uterine polyps, fibroids, intrauterine adhesions and uterine anomalies. Increasing evidence suggests the use of SIS prior to an in-vitro fertilization (IVF) cycle as it has increased sensitivity in the detection of intrauterine pathology. SIS is cost-effective and results in better patient satisfaction scores than hysteroscopy.
authors.affiliation: Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom. Electronic address: v9dya@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Seshadri
authors.affiliation: Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
authors.forename: M
authors.initials: M
authors.lastname: Khalil
authors.affiliation: Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Osman
authors.affiliation: Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Clough
authors.affiliation: Royal Derby Hospital, Derby & NURTURE, University of Nottingham, Nottingham NG7 2UH, United Kingdom.
authors.forename: K
authors.initials: K
authors.lastname: Jayaprakasan
authors.affiliation: Assisted Conception Unit, Guys Hospital, 11th Floor, Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
authors.forename: Y
authors.initials: Y
authors.lastname: Khalaf
mesh_terms: D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000000981:diagnostic imaging*; D011127:Polyps / Q000000981:diagnostic imaging; D012965:Sodium Chloride / Q000008:administration & dosage; D014463:Ultrasonography; D014591:Uterine Diseases / Q000000981:diagnostic imaging*; D014599:Uterus / Q000002:abnormalities / Q000000981:diagnostic imaging*
chemical_list: D012965:Sodium Chloride
keywords: Hysterosonography; Infertility; Saline infusion sonography