Endometritis is the most sustainable disease of the endometrium that leads to infertility in premenopausal women and many other pathologies in postmenopausal women. The role of ultrasound in the diagnosis of endometritis is indefinite, the sonographic signs of endometritis are most helpful for early detection and management. The aim to the study was to evaluate the role of ultrasound, as a diagnostic tool, for the diagnosis and management of endometritis. For this purpose, the literature of 2005-2020 from different search engines includes PubMed, Google Scholar, Science Direct, MEDLINE, Embase, and ResearchGate were studied and reviewed using MeSH (medical subject heading). Different retrospective studies were included, which had the same and diverse criteria for the diagnosis, to compare and find the accuracy of sonography as a first line tool. The exclusion criteria were not to include any prospective study, case-control study, and study former than 2005. The results of this systematic review indicated that the transvaginal ultrasound, hysterosonography, and abdominal ultrasonography can be used as a basic tool of investigation because of its availability and non-invasive technique. The other methods of molecular microbiology aided the diagnosis by confirming and to indicate the pathogens which cause endometritis. Hence, it is concluded that although the importance of ultrasound cannot be neglected but shouldn’t be limited to it. The other techniques used together provide much more authentic results.
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