Contribution of Hysterosalpingography (HSG) in Female Infertility in Kati

Abstract

Introduction: Female infertility is a frequent reason for consultation and is therefore a real public health problem. The objective is to study the contribution of HSG in the etiological research of this infertility. Materials and Method: This is a bicentric study carried out in the Medical Imaging Department of the Pr Bocar Sidy SALL University Hospital and at the "Amitié" Medical Clinic (CMA) of Kati over a period of two years (from 01 January 2020 to 31 December 2021). The examinations were largely performed by radiologists in the first part of the cycle, after menstruation and outside of any infectious context. The variables studied were sociodemographic, clinical and radiographic data. The readings of the images were made by the radiologists. The GE PRESTILIX 1600X remote-controlled table was used for examinations in each centre. Results: At the end of our study, we collected 421 files: 223 cases at the CHU and 198 at the CMA. These examinations were requested by gynecologists in 70% of cases, the average age of our patients was 31.4 years and the 25-34 years age group was in the majority (50.4%). The most recovered clinical information was sterility with 40.6% (21.4% for secondary sterility and 19.2% for primary sterility) and desire for children (17.6%). Examinations were done by radiologists (47%) and medical assistants (40%). The result was normal in 58% of cases and pathological in 42% of cases; Among the pathologies, tubal abnormality was the majority (71.2%) dominated by tubal obstruction in 59.5% of cases, followed by hydrosalpinx in 35.7% of cases. Uterine pathologies were dominated by myomas (25.5%) followed by uterine synechia (21.6%). Conclusion: Female infertility is common, affecting young women. The HSG allowed us to detect certain lesions, largely tubal and uterine abnormalities. It is the examination of choice in the search for tubal abnormality in our country.