Results of hysterosalpingography in the exploration of female infertility in Niamey

Abstract

Aims: Evaluate the contribution of hysterosalpingography in the exploration of female infertility in order to improve its management. Materials and methods: This was a retrospective study from 07/24/2017 to 11/30/2020, and prospective from 12/15/2020 to 03/10/2021 at the Radiology department of the General Reference Hospital of Niamey collecting 223 patients referred for hysterosalpingography as part of the infertility assessment. Results: the average age was estimated at 28.9 ± 7 years with extremes of 15 and 47 years. The age group of 20 to 30 was the most represented with 53.8%. Patients were referred for primary and secondary infertility in 44.8% and 48% respectively. HSG was normal in 53.8% and pathological in 46.2%. Tubal pathologies were found in 44.7% represented by tubal obstruction in 100% of cases; a hydrosalpinx in 21.4%; and one case of tubal endometriosis (1.4%). Uterine pathologies were revealed in 32% of cases, dominated by fibromyomas and uterine polyps in 47.4% and 26.3% respectively. Conclusion: In Africa, a childless couple is often subject to various pressures from the family as well as society. The birth of a child in a home is a source of joy, and contributes more or less to maintaining a certain stability and harmony in the household. On the other hand, infertility in a home is often a source of divorce and/or family disintegration. The exploration of infertility almost always involves HSG in our country and must however be accessible in order to better care for infertile women.