Hysterosalpingographic findings in infertility – what has changed over the years?

Omidiji, Olubukola; Toyobo, Oluyemisi O; Adegbola, Omololu; Fatade, Abiodun; Olowoyeye, Omodele

doi:10.4314/ahs.v19i2.9

Cited by 18 publications

(22 citation statements)

References 16 publications

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“…Tubal abnormalities ranging from occlusion, hydrosalpinx and loculated spill accounted for the greatest abnormalities seen in our study. This is consistent with others studies where tubal abnormalities were reported on HSG [ 21 - 23 ].…”

Section: Discussionsupporting

confidence: 94%

Hysterosalpigography findings of female partners of infertile couple attending fertility clinic at Lagos University Teaching Hospital

Makwe¹,

Ugwu²,

Sunmonu³

et al. 2021

Pan Afr Med J

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Introduction Hysterosalpingography (HSG) is an outpatient fluoroscopic method for the evaluation of the uterine cavity, fallopian tubes, and the surrounding peritoneal cavity. Female fertility depends greatly on normal female reproductive organs; hence tubal abnormalities may contribute significantly to female infertility. HSG is an invaluable screening tool in the evaluation of women with suspected tubal factor infertility. This study aims to review the HSG findings of women who sought fertility treatment at the Lagos University Teaching Hospital, Lagos (LUTH). Methods this was a retrospective study of the pattern of HSG findings among female partners of infertile couples seeking fertility treatment at the LUTH, over a 2-year period, from January 2018 to December 2019. Results a total of 266 medical records and HSG results were reviewed and included in the data analysis. The mean age (± standard deviation) was 38.4 (± 0.3) years with a range of 24 to 50 years. Most (80.5%) of the participants have secondary infertility and majority (65.4%) were nulliparous. Tubal pathology was the commonest abnormality detected on HSG in 54.9% of women. About one-third (30.8%) of women had bilateral tubal occlusion on HSG. With regards to the right fallopian tube, 43.2% of the participants had tubal occlusion, which differs from 41.7% on the left fallopian tube. Similarly, 10.2% of the women had hydrosalpinx on the left tube when compared with 9% on the right tube. Age (OR 1.055; 95% CI: 1.006, 1.106, p-value 0.028), and previous salpingectomy [OR 6.151; 95% CI: 1.335, 28.349] and myomectomy [OR 4.6; 95% CI: 1.814, 11.67] were identified as risk factors for tubal pathologies on HSG. Conclusion tubal abnormalities are common findings on HSG and the identifiable risk factors for tubal pathologies include age, salpingectomy, and myomectomy. HSG remains a vital screening tool in the evaluation of tubal-factor infertility in Nigeria.

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Section: Discussionsupporting

confidence: 94%

Hysterosalpigography findings of female partners of infertile couple attending fertility clinic at Lagos University Teaching Hospital

Makwe¹,

Ugwu²,

Sunmonu³

et al. 2021

Pan Afr Med J

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“…Despite its existence for more than hundred years, hysterosalpingography remains one of the first line imaging tools in infertility work up ( Omidiji et al, 2019 ). Being available, cheap, less invasive and easily interpreted, it is still widely used, despite the presence of other complementary methods ( Onwuchekwa and Oriji, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Toufig

Benameur

Twfieg

et al. 2020

Saudi Journal of Biological Sciences

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Background Infertility is a global health issue and hysterosalpingography (HSG) is a valuable radiological tool in infertility workup and remains a main modality for investigating female infertility. However, the HSG findings of infertility are not the same worldwide. This study aimed at evaluating the incidence of HSG findings in patients investigated for primary and secondary infertility, correlating these findings with their clinical data that reflect the infertility causes and comparing the findings with previous international studies. Methods A prospective descriptive study of 75 female patients referred, as cases of infertility, for HSG examination in Elrebat Hospital and Khartoum Advanced Diagnostic Center. HSG was performed in the first half of the cycle. The procedure and its complications, were explained to the patients and informed consents were obtained. Patients with active pelvic infection and active uterine or vaginal bleeding were excluded from the study. Using aseptic technique and with proper patient’s positioning, iodinated contrast was introduced into the cervix under fluoroscopic monitoring, to demonstrate the uterine cavity, fallopian tubes and free spillage into the peritoneal cavity. Personal data, clinical data and HSG findings were analyzed using SPSS version 23. Results The commonest age group seen was 26–36 years. Close incidences of primary and secondary infertility were detected. 52.7% had abnormal findings in HSG. Tubal pathology (42.7%) being the most common abnormality, followed by uterine and combined abnormalities. There was strong association between past medical history suggesting pelvic inflammatory disease (PID) or past history suggesting tubal blockage secondary to abdominopelvic surgery and tubal abnormalities. Conclusion HSG examinations revealed that the most common abnormality was tubal blockage possibly complicating PID and abdominopelvic surgeries. This reflects the HSG diagnostic and therapeutic role in the assessment of female infertility and the further needs for more preventive measures targeting the reduction of tubal pathologies in developing countries.

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“…Despite improved access to contraceptives, antibiotics and promotion of safe abortion practices a study, in Lagos Nigeria, showed that more than a third of infertile women had tubal pathologies and this remains the most common abnormality seen on hysterosapingograms 6. Also from Nigeria, we have a paper on the attitude of married women towards contraceptive use in Kwara State.…”

Section: Maternal Healthmentioning

confidence: 99%

Maternal, adolescent and child health issues in low and middle income countries: towards achieving the sustainable development goals

Ndeezi

2019

Afr H. Sci.

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Hysterosalpingographic findings in infertility – what has changed over the years?

Cited by 18 publications

References 16 publications

Hysterosalpigography findings of female partners of infertile couple attending fertility clinic at Lagos University Teaching Hospital

Hysterosalpigography findings of female partners of infertile couple attending fertility clinic at Lagos University Teaching Hospital

Evaluation of hysterosalpingographic findings among patients presenting with infertility

Maternal, adolescent and child health issues in low and middle income countries: towards achieving the sustainable development goals

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