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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 19, No. 2, 2019, pp. 1866-1874
Bioline Code: hs19069
Full paper language: English
Document type: Research Article
Document available free of charge

African Health Sciences, Vol. 19, No. 2, 2019, pp. 1866-1874

 en Hysterosalpingographic findings in infertility – what has changed over the years?
Omidiji, Olubukola AT; Toyobo, Oluyemisi O; Adegbola, Omololu; Fatade, Abiodun & Olowoyeye, Omodele A


Background: Prior studies on Hysterosalpingography (HSG) have shown that pelvic inflammatory disease (PID) related tubal adhesions accounted for 30 – 50% of female infertility, with as high as 80% reported in some studies. With improved access to contraceptives, antibiotics and promotion of safe practices, the abnormal findings in HSG may have reduced or altered.
Objective: To document the imaging findings in the HSG of participants and to compare current findings with prior studies done nationally and internationally.
Method: A retrospective evaluation of 974 HSGs done at the tertiary diagnostic center over a 7-year period was conducted and analyzed using diagnostic accuracy tables.
Results: Tubal pathologies were the most common abnormality in this study, (35.1% of the cases), comprising tubal blockage and hydrosalpinges; followed by uterine masses seen in 223 (22.9%) of the clients. Tubal occlusion was higher in clients with multiple abnormal findings; .while normal sized and large uterine cavities had a higher percentage of bilateral tubal patency.
Conclusion: Tubal factors remain the most common abnormality seen in the HSGs of infertile women in this study, though with lower prevalence compared with prior older studies. Forty seven (47%) of the cases of female factor infertility had normal HSGs with bilateral tubal patency.

Cite as: Omidiji OAT, Toyobo OO, Adegbola O, Fatade A, Olowoyeye OA. Hysterosalpingographic findings in infertility – what has changed over the years? Afri Health Sci.2019;19(2): 1866-1874.

HSG; infertility; female; Africa; tubal factors; uterine masses

© Copyright 2019 - Omidiji et al.

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