Hysterosalpingographic patterns and relevance in the management of infertility in a Nigerian tertiary health Institution

Eduwem, DU; Akintomide, Akintunde Olusijibomi; Bassey, D E; Ekott, Mabel

doi:10.3126/ajms.v7i5.15169

Cited by 9 publications

(11 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These myomas were seen as impressions or filling defects when located in the sub mucous region. This is contrary to what was found by another study13 that reported uterine fibroids as the commonest anomaly, constituting 41.95% in 205 infertile women in Calabar. The difference may be due to diet (red meat and alcohol intake increases the risk of developing myomas14) and other cultural differences.…”

Section: Discussioncontrasting

confidence: 95%

“…The lower limit may be attributed to early marriages and lack of education noted in that period; while the upper limit may be due to assisted conception techniques that are now offered increasing the chances for perimenopausal women. Newer studies in the same population however had similar age ranges as this study 12,13. The mean age in this age group was also higher than that of the older studies but similar to those of the new studies likely because their upper limits were less than noted in the newer studies.…”

Section: Discussionsupporting

confidence: 73%

See 1 more Smart Citation

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

Omidiji¹,

Toyobo²,

Adegbola³

et al. 2019

Afr H. Sci.

View full text Add to dashboard Cite

BackgroundPrior 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.ObjectiveTo document the imaging findings in the HSG of participants and to compare current findings with prior studies done nationally and internationally.MethodA retrospective evaluation of 974 HSGs done at the tertiary diagnostic center over a 7-year period was conducted and analyzed using diagnostic accuracy tables.ResultsTubal 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.ConclusionTubal 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.

show abstract

Section: Discussioncontrasting

confidence: 95%

Section: Discussionsupporting

confidence: 73%

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

Omidiji¹,

Toyobo²,

Adegbola³

et al. 2019

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…[29]. But this is contrary to a study done in Nigeria in 2016 where bilateral tubal occlusion was predominant over unilateral tubal occlusion [30]. The uterine fibroid was the second most common abnormalities found on HSG 57 (23.6%) similar to a study done in Sokoto Nigeria (25.5%).…”

Section: Indications Of Hysterosalpingographycontrasting

confidence: 62%

“…The uterine fibroid was the second most common abnormalities found on HSG 57 (23.6%) similar to a study done in Sokoto Nigeria (25.5%). Previous reports have shown that uterine fibroids were the main HSG finding 86 (41.9%) in a study done in a tertiary hospital in Nigeria [30]. Six (2.9%) participants presented with congenital malformation.…”

Section: Indications Of Hysterosalpingographymentioning

confidence: 81%

Findings of Hysterosalpingography in Women Who Underwent Gynaecologic Imaging in a Tertiary Hospital in Douala, Cameroon

Egbe¹,

Ngombiga²,

Takang³

et al. 2020

ARSci

View full text Add to dashboard Cite

Background: Hysterosalpingography (HSG) is the first-line investigation among infertile women in Cameroon. There is a dearth of studies on the use of HSG in Cameroon. The aim of this study was threefold: 1) to describe the indications; 2) findings of hysterosalpingography and 3) factors associated with abnormal findings on HSG at the Douala General Hospital, Cameroon. Methods: We conducted a retrospective descriptive study of 242 files of patients who underwent hysterosalpingography at the Radiology Department of the Douala General Hospital from January 2012 to December 2016. We collected data on the sociodemographic, obstetric variables and indications of HSG using a pretested data collection form. We also interpreted HSG films during the study period. Data analysis was with EPI-INFO version 7. Results: The age range was 19-46 years with a mean age of 33.16 ± 5.45 years. Majority 138/242 (57.1%) were in the age group 30-40 years. The main indication of HSG was infertility 87.2% (211/242). Most of the cases 95.87% (232/242) had abnormal findings at HSG. Tubal and uterine abnormal findings made up 133/232 (57.3%), and 97/232 (41.81%) of cases, respectively. Tubal occlusion and hydrosalpinges were found in 99/232 (42.67%) and 19/232 (8.19%) while uterine fibroids and uterine synechiae were found in 57/232 (24.97%) and 30/232 (12.93%), respectively. The factors independently associated with abnormal findings at HSG were: a history of recurrent pregnancy loss (AOR 2.95; 95% CI: 1.19-7.32, p = 0.02) and infertility (AOR 0.24; 95%

show abstract

“…Our findings at the Cape Coast Teaching Hospital, Ghana, vary from those of Botwe et al from the Korle-Bu Teaching Hospital of Ghana, who found that 60.03% of their women had abnormalities on HSG [ 20 ]. Many other studies have reported much higher proportions: 98.19% in China [ 25 ], 92% in India [ 26 ], and 85.8% and 75% in Nigeria [ 11 , 27 ]. The possible explanation to the disparity in findings is likely due to exposure to infections such as sexually transmitted disease (STD) and pelvic inflammatory disease (PID).…”

Section: Discussionmentioning

confidence: 99%

Hysterosalpingography Findings and Jimah Ratio of the Uterine Cavity in Women with Infertility in Central Region, Ghana

Jimah

Gorleku

Appiah

2020

Radiology Research and Practice

View full text Add to dashboard Cite

Background. Infertility affects from 1.3% to 25.7% of couples worldwide and, especially, from 14.5% to 16.4% in Africa. Hysterosalpingography (HSG) is a diagnostic modality that is considered both common and efficient. It is used to investigate abnormalities of the uterine cavity and fallopian tubes. This study assessed the spectrum of findings on HSG among women with infertility in the Central Region (Ghana). Methods. We conducted a prospective cross-sectional study to examine 203 infertile women undergoing HSG work-up at the Cape Coast Teaching Hospital. The exclusion criteria were acute infection of the vagina or cervix and active vaginal bleeding or pregnancy. Data were entered with Microsoft Excel and analyzed using SPSS version 21. Results. A total of 203 women were enrolled, and eighty-five (41.87%) of the women had at least one or more abnormalities. The mean age was 32.9 years with majority of the women within 30–39 years (61.08%). More than half (50.74%) of the women presented with secondary infertility, while age of women ( p = 0.004 ) and duration of infertility (0.034) were found to be in association with the type of infertility. Uterine findings were predominantly capacious uterine cavity (45.1%) and uterine fibroids (33.3%), while fallopian tube findings included bilateral blockage (24.2%), right unilateral proximal blockage (17.7%), loculated spillage (16.1%), and left unilateral proximal blockage (16.1%). The range of normal uterine cavity size, measured as ratio (Jimah ratio) of intercornual diameter to interiliac diameter was 0.2–0.45, with a mean of 0.36. Conclusion. Secondary infertility was the commonest indication for HSG in the study, and a significant proportion of infertile women had abnormalities. Abnormalities were higher in the fallopian tubes than the uterus, while capacious uterine cavity, uterine fibroid, and bilaterally blocked tubes were the top three abnormalities found.

show abstract

Hysterosalpingographic patterns and relevance in the management of infertility in a Nigerian tertiary health Institution

Cited by 9 publications

References 10 publications

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

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

Findings of Hysterosalpingography in Women Who Underwent Gynaecologic Imaging in a Tertiary Hospital in Douala, Cameroon

Hysterosalpingography Findings and Jimah Ratio of the Uterine Cavity in Women with Infertility in Central Region, Ghana

Contact Info

Product

Resources

About