• Olubukola At Omidiji, Oluyemisi O Toyobo, Omololu Adegbola, Abiodun Fatade, and Omodele A Olowoyeye.
• Department of Radiation Biology, Radiotherapy, Radiodiagnosis and Radiography, College of Medicine, University of Lagos/ Lagos University Teaching Hospital, Idi-Araba, Lagos.
• Afr Health Sci. 2019 Jun 1; 19 (2): 1866-1874.

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.© 2019 Omidiji et al.

26 keywords...

hide…