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.
To document the imaging findings in the HSG of participants and to compare current findings with prior studies
done nationally and internationally.
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.
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.
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. https://dx.doi.org/10.4314/ahs.v19i2.9