Osho ES¹, Fatukasi JI¹, Oyamakinde SO¹, Adewole AS², Bello OA¹, Loto OM³, Gbala MO², Odeyemi OT¹, Agbaje OA¹

¹Department of Radiology, University of Medical Sciences Teaching Hospital, Ondo state, Nigeria

²Department of Obstretics and Gynecology, University of Medical Sciences Teaching Hospital, Ondo state, Nigeria

³Department of Obstretics and Gynecology, Obafemi Awolowo University Teaching Hospital, Ile ife, Osun state, Nigeria

Corresponding Author: Dr. Evelyn Salewa Osho, Department of Radiology, University of Medical Sciences Teaching Hospital, Ondo state, Nigeria, Email: salewaosho@gmail.com

Citation: Osho ES, Fatukasi JI, Oyamakinde SO, Adewole AS, Bello OA, Loto OM, Gbala MO, Odeyemi OT, Agbaje OA, (2023). Hysterosalphingography in Women with Infertility in Ondo, what are the Recent Findings?. Bull of Obstetr Gynaecol, 1(1),1-6.

Copyright: © 2023, Osho ES. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

ABSTRACT

Background: Infertility is a common gynecological condition in Africa with terrible societal, psychological and psychosocial implications, especially among women. Hysterosalphingograhy, however is a gold standard investigative modality used to establish female causes of infertility. It is widely preferred to other available investigative modalities because of its cost effectiveness, accessibility and reliable diagnostic results. Aim: This study aimed to identify and describe the pattern of recent imaging findings in HSG of participants and compare the findings with previous studies done within the country and around the world.

Methods: This study is a retrospective evaluation of the HSG and reports of 680 patients done at the Radiology department of a tertiary health institution over a 3-year period between January 2019 and December 2022.

Results: A total of 705 patients were referred for HSG within the period of study, however 680 were involved in the study. The age range of the participant was 20 – 55 years with mean age of 35 years. Secondary infertility was the commonest cause of infertility accounting for 76% among the participant. Tubal abnormality was the commonest abnormality found accounting for 32.9% of study population with distal tubal obstruction being the commonest pattern. High incidence of hydrosalpinx was noted in this study which was majorly traced to previous surgical intervention mainly myomectomy as a risk factor. However, 143 (21%) of the participants showed completely normal hysterosalpingogram findings and hormonal disorder and/or male factors of infertility were inferred to be the cause of infertility in this group.

Conclusion: Like other previous researchers, tubal abnormalities was the commonest abnormality seen among the participants. However, the recent finding seen in our study is the increased incidence of hydrosalpinx among the patients which could be traced to previous surgical interventions being the major risk factor responsible for this. Hence, further studies on the effect of previous surgical procedures on Hysterosalpingographic findings and infertility as a whole should be considered.

KEYWORDS: Hysterosalphingography, Infertility, women, Ondo.