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Volume 3 Issue 1 (January-March) 2014

Original Articles

Efficacy of MRI in detecting female infertility- A clinical study
Dr. Sanchita Saha, Nutan Katiyar

Background: One year of unprotected sexual activity without a pregnancy is considered infertility. 15–27% of infertile women had uterine abnormalities found. The present study was conducted to assess efficacy of MRI in detecting female infertility. Materials & Methods: 70females age ranged 20-40 years were selected. Symptoms such as pelvic pain, dysmenorrhoea etc. was noted.A serum hCG test was done before the examinations.MRI was performed on a 1.5 Tesla unit equipped with a 32 phased-array surface coil, with the patient in the supine position. On MRI various anomalies were recorded. Results: Age group 20-35 years had 15, 26-30 years had 12, 31-35 years had 8 and 36-40 years had 21 patients. The difference was significant (P< 0.05). The etiology of female infertility was adenomyosis in 10, endometriosis in 2, PCOS in 4, pelvic inflammatory disease in 4, endometrial polyps in 29, tubal disease in 17, and leiomyoma in 3 cases. A significant difference was observed (P< 0.05). Conclusion: For routine infertility work-ups, MR imaging is a helpful non-invasive method. Due of its excellent accuracy and comprehensive description of uterovaginal anatomy, magnetic resonance imaging is the preferred technique for infertile women with suspected uterine abnormalities. Additionally, MRI has the benefit of expanding diagnostic data to identify often linked urinary tract abnormalities. Only women who are likely to undergo interventional therapy are eligible for laparoscopy and hysteroscopy.

 
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