Background: Prior studies on Hysterosalpingography (HSG) have shown
that pelvic inflammatory disease (PID) related tubal adhesions
accounted for 30 \u2013 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. Objective: To document the imaging
findings in the HSG of participants and to compare current findings
with prior studies done nationally and internationally. Method: A
retrospective evaluation of 974 HSGs done at the tertiary diagnostic
center over a 7-year period was conducted and analyzed using diagnostic
accuracy tables. Results: Tubal 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.
Conclusion: Tubal 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.
DOI: https://dx.doi.org/10.4314/ahs.v19i2.9 Cite as: Omidiji OAT,
Toyobo OO, Adegbola O, Fatade A, Olowoyeye OA. Hysterosalpingographic
findings in infertility \u2013 what has changed over the years? Afri
Health Sci.2019;19(2): 1866-1874.
https://dx.doi.org/10.4314/ahs.v19i2.