Hysterosalpingography versus Laparoscopy in the Evaluation of Female Infertility in Maiduguri, Nigeria.

Hysterosalpingographic findings in infertile women: A seven year review

“…[7,15] The findings of Adetiloye of the preponderance of the right tubal block over the left tubal block [16] is in contrast to finding from this study. The high incidence of tuboperitoneal factor 196 (72.1%) found in this and in many previous studies [7,[11][12][13][14][15] further supports infection as the leading cause of infertility in our environment. The poor sensitivity of HSG in the diagnosis of pelvic/peritubal adhesions suggests that the incidence may even be higher at laparoscopy which is better in evaluating extrinsic tubal pathology.…”

“…Although laparoscopy and dye test provide more information than HSG, radiologic studies are valuable non-operative procedures for detection of uterine and tubal pathology. [12,13] Recent studies have however shown that sonohysterography is superior to HSG for assessing intrauterine abnormalities. In addition, sonohysterography is cheaper, more tolerable and is free of ionizing radiation [14] but the place of HSG in the evaluation of the infertile woman will remain undisputed for a long time to come.…”

Experience with a comprehensive university hospital-based infertility program in Nigeria

“…In the present study, primary infertility was 14.3% and secondary infertility was 85.7%. In the WHO study [7] and others [7–10], primary infertility accounted for 27% to 48% of cases and secondary infertility for 52% to 72.5% of cases. In this study, the primary infertility rate is much lower and the secondary infertility rate is much higher than the rates reported in several other Nigerian studies.…”

Hysterosalpingography findings among women presenting for gynecological imaging in Ado-Ekiti, South western Nigeria

“…22 Some studies have reported that Laparoscopy and dye test is more informative. 6,23,24 Laparoscopy may be omitted in women with normal HSG or suspected unilateral distal tubal pathology on HSG, since study has not shown it to change the original treatment plan indicated by HSG in 95% of the patients. 24 However, laparoscopy should be recommended in cases with suspected bilateral tubal occlusion on HSG, since in one study, it altered the original treatment plan in 30% of the patients from invitro fertilization (IVF) to induction of ovulation with intra uterine insemination (IUI).…”