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All Journal Majalah Kedokteran Bandung Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Majalah Obstetri dan Ginekologi The Indonesian Biomedical Journal Universa Medicina Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) eJournal Kedokteran Indonesia Jurnal Kedokteran Meditek
Achmad Kemal Harzif
Obstetric And Gynecology Department, Faculty Of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Detection of Uterine Cavity Pathology in Subfertile Women Prior to In Vitro Fertilization Using Transvaginal Sonography and Office Hysteroscopy Lusiana, Nadya; Werdhani, Retno Asti; Maidarti, Mila; Harzif, Achmad Kemal; Sumapraja, Kanadi; Yanfaunnas, Atika Mahira; Ampri, Irfan Arieqal Hatta; Talya, Natasha; Pratama, Gita
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2795

Abstract

Objective: To compare transvaginal sonography (TVS) and office hysteroscopy in detecting uterine cavity pathology in subfertile women prior to in vitro fertilization (IVF).Methods: This retrospective cross-sectional study included 104 subfertile women who underwent both TVS and office hysteroscopy at the Yasmin IVF Clinic, Dr. Cipto Mangunkusumo Kencana Hospital, Jakarta. Findings from TVS and hysteroscopy were compared with histopathological results for chronic endometritis, endometrial polyps, submucosal fibroids, and endometrial hyperplasia. Findings of uterine septum and intrauterine synechiae on TVS were compared with hysteroscopy as the reference standard. Results: Office hysteroscopy detected chronic endometritis in 16.3% of subjects, with a sensitivity of 33% and specificity of 68%, whereas TVS did not identify any cases. Submucosal fibroids were detected by both modalities with identical specificity (100%) and sensitivity (75%). Endometrial polyps were identified in 47.1% of cases by hysteroscopy and 15.4% by TVS. TVS demonstrated higher specificity (88% vs. 35%), although both modalities showed low sensitivity (15% for TVS vs. 50% for hysteroscopy). Both methods accurately detected endometrial hyperplasia, showing high specificity (97%). Uterine septum and intrauterine synechiae were detected exclusively by hysteroscopy. Conclusion: Both TVS and office hysteroscopy are effective in detecting submucosal fibroids and endometrial hyperplasia. However, only hysteroscopy can identify chronic endometritis, uterine septum, and intrauterine synechiae, while TVS demonstrates higher specificity for detecting endometrial polyps. Histopathology remains the gold standard, and office hysteroscopy provides important complementary diagnostic value prior to IVF. Keywords: in vitro fertilization, office hysteroscopy, sub-fertility, transvaginal sonography
Co-Authors Agustina, Elizabeth Ampri, Irfan Arieqal Hatta Andon Hestiantoro Aprilia Asthasari Siregar Bagastoro, Aswan Budi Wiweko Chiprion, Ariel Timy Christopher Yo, Edward Faradina, Anindita Abigail Ferry Sandra Franciska, Shelly Gita Pratama Harahap, Juliana Sari Hari Kurniawan, Riyan Irzanti, Alisha Nurdya Kanadi Sumapradja Kartiwa Hadi Nuryanto Lestari, Silvia Werdhy Lethulur, Shindie Dona Kezia Lusiana, Nadya Mila Maidarti Muharam, R Muthalib, Aidrus Mutia, Heidi Dewi Nurbaeti, Putri Nurdya Irzanti, Alisha Prasetya, David Eka Prini Diandara Garinasih Puspawardani, Aisyah Retno R. Muharam Raden Muharam Natadisastra Raymond Surya Retno Asti Werdhani Saraswati, Jaya Sayogo, Atikah Shadrina, Amalia Silvana, Vita Talya, Natasha Tanjung, Anton Tyagitha, Galuh Anindya Ummah, Nafi'atul Yanfaunas, Atika Mahira Yanfaunnas, Atika Mahira Yo, Edward Christopher Zulimartin, Handika