Received February 06, 2017
Accepted August 06, 2017

OBJECTIVE: To analyze the results of hysterosonography performed prior to in vitro fertilization (IVF) and to correlate abnormal findings with hysteroscopy. METHODS: Including data from 197 hysterosonographies performed between January / 2012 and August/2014, in an assisted reproduction clinic. Selection criteria: All patients in preparation for IVF who had no recent uterine evaluation using hysterosalpingography or hysteroscopy were indicated for hysterosonography. Uterine cavity evaluation was considered abnormal when found: polyps, submucous myomas, uterine synechiae or Müllerian malformations. Cases which the suspected cavity abnormality could interfere in IVF results were referred for hysteroscopy. RESULTS: Exam was considered normal in 170/197 of cases (86.3%). Polyps were suspected in 18/197 of cases (9.1%), submucous myomas in 2/197 (1%), synechiae in 6/197 (3.5%) and Müllerian malformations in 1/197 (0.5 %). Among patients diagnosed with abnormality, 16 realized hysteroscopy to confirm or treat the suspected pathology. In only two cases there was no concordance between the examinations: one suspicion of synechiae was not confirmed and another of polyp, hysteroscopy evidenced focal endometrial thickening. The positive predictive value in our study was 93.7%. CONCLUSION: In most cases, the diagnoses obtained by hysterosonography showed normal uterine cavities. The most common abnormal finding was polyp, followed by synechiae, submucous myoma, and Müllerian malformation. Hysterosonography is a good option for evaluating the uterus with a high positive predictive value, with hysteroscopy as gold standard.