Endometriosis is strongly associated with infertility. Endometrial polyps are prevalent in infertile women and they have similar\npathological characteristics to endometriosis, suggesting a possible association. Uterine malformations as uterine septum and\nhypoplastic uterus are also linked to endometriosis. Hysterosalpingogram and transvaginal ultrasonography are used to diagnose\nendometrial lesions. Hysteroscopy can detect small lesions that might be missed. Recently, 4D ultrasonography is being used,\nbut which is superior has not been established yet. We aim to compare 4D ultrasonography to office hysteroscopy in evaluating\nuterine cavity in cases with endometriosis; also we aim at correlating these findings with the stage of endometriosis. 50 cases of\nendometriosis diagnosed by laparoscopy were randomly selected from El Shatby fertility clinic, Alexandria University, Egypt, with\nexclusion of cases with any previous intrauterine surgery or any hormonal treatment. Transvaginal 4D ultrasonography and office\nhysteroscopy were done. 4D ultrasonography agreed with office hysteroscopy in diagnosing abnormal uterine findings in 14 cases\nand four additional cases were diagnosed by hysteroscopy alone. Conclusion. Endometrial polyps, septate uterus, and hypoplastic\nuterus are more prevalent among infertile women who happen to have endometriosis. 4D ultrasonography and office hysteroscopy\nare equally successful in assessing the uterine cavity.
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