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

Aduayi, Olufunso Simisola; Akanbi, Ganiyu Olusola; Akintayo, Akinyemi A.; Aduayi, Victor Adovi

doi:10.18203/2320-1770.ijrcog20161688

Cited by 11 publications

(38 citation statements)

References 16 publications

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“…In this study, two hundred and three (203) women with infertility were enrolled, and some had complimentary ultrasound scan (USG). Most of the women presented with secondary infertility (50.74%) which is similar to the findings reported by previous studies in Nigeria [ 8 , 17 , 18 , 24 ] and Ghana [ 20 ]. On the contrary, studies from different continents reported the predominance of primary infertility in their study subjects: China [ 25 ], Iran [ 23 ], and India [ 26 ].…”

Section: Discussionsupporting

confidence: 88%

“…A significant proportion (71.6%) of women who had HSG abnormalities were diagnosed with tubal pathologies. Similar proportions were reported by Aduayi et al (66.4%) in Nigeria [ 18 ], Bhatt et al (68.4%) in India [ 26 ], and Hong et al (80%) in China [ 25 ]. On the contrary, our proportion is much higher than that reported by Niknezhady et al (11.9%) in Iran [ 23 ], Eze et al (21%) in Nigeria [ 11 ], and Schankath et al (54.7%) in Switzerland [ 21 ].…”

Section: Discussionsupporting

confidence: 85%

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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

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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.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 85%

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

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“…Hysterosalpingography (HSG) is a radiologic procedure that investigates the cervical canal, uterus and fallopian tubes [1] [2]. It is considered a basic radiographic procedure and is offered by most hospital radiology departments [1].…”

Section: Introductionmentioning

confidence: 99%

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

Egbe¹,

Ngombiga²,

Takang³

et al. 2020

ARSci

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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%

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“…The primary role of HSG is to evaluate the morphology and the patency of the fallopian tubes. 4 HSG is the initial diagnostic test used to assess tubal patency because it has a sensitivity of 85 to 100% in identifying tubal occlusion. It is performed between cycle; days 7 and 10 in the postmenstrual phase at least 2-3 days after cessation of menstrual bleeding by using contrast fluoroscopic mediums (oil based or water soluble).…”

Section: Introductionmentioning

confidence: 99%

“…Intrauterine adhesions and congenital abnormalities can also be demonstrated on HSG. 4 Need for the Study -Primary infertility is one of the common problem affecting married couple with incidence of about 15% -20%. The reasons could be social causes like increased age of marriage and postponing the pregnancy and other socio-economic issues.…”

Section: Introductionmentioning

confidence: 99%

Hysterosalpingogram in Evaluation of Primary Infertility- A Retrospective Study

Ganiga¹,

Soumyarani²,

Subash³

2018

jebmh

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BACKGROUNDInfertility is one of the commonest problems encountered in gynaecology. Improved familiarity with and access to infertility services among the affluent and better educated patients probably accounts for their greater use of the medical resources. Hysterosalpingography is one of the most important diagnostic procedures used for evaluation of infertility. Around 15% of Indian population, both male and female is becoming infertile with no chance of becoming parents in the future. Objective-To evaluate uterine and tubal disease detected on hysterosalpingography in female partner, in couples who have come for evaluation of primary infertility.

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

Cited by 11 publications

References 16 publications

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

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

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

Hysterosalpingogram in Evaluation of Primary Infertility- A Retrospective Study

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