The relationship between hysterosalpingography findings and female infertility in a Nigerian population

Abstract

PurposeThis study aims to explore the relationships between abnormal hysterosalpingography (HSG) findings and all types of infertility.Material and methodsThis retrospective study was carried out at a private radiodiagnostic centre in Lagos, Nigeria. The radiologist reports of all consecutive patients who had HSG evaluation from 2016 to 2018 were analysed. Biodemographic information and indications for HSG evaluation were also documented. Logistic regression was used to test correlations between the explanatory and outcome variables. P ≤ 0.05 represented a statistically significant result.ResultsA total of 450 patients were involved in this study, with ages ranging from 21 to 51 years and a mean age of 34.6 ± 5.56 years. The age group 31-35 years had the highest frequency of infertility. There were 299 patients referred for infertility. Secondary infertility was seen in 211 patients (46.9%), primary infertility was seen in 79 patients (17.6%), and subfertility was seen in nine patients (2%). There were 49 patients (10.9%) with cornual tubal blockage, while 57 patients (12.7%) had perifimbrial adhesion and/or blockage. There were 56 patients (12.4%) with hydrosalpinx and nine patients (2.0%) with tubal occlusion. Multivariate logistic regression analysis showed women with hydrosalpinx were 2.11 times more likely to be infertile than those without hydrosalpinx (95% CI: 1.02-4.36, p = 0.042).ConclusionsThe presence of hydrosalpinx was a significant risk factor in developing all types of infertility. Understanding the HSG patterns and their correlations with infertility will help physicians across the world when evaluating infertility in patients of similar background to our patient population.

Ethiodized poppyseed oil-based contrast medium is superior to water-based contrast medium during hysterosalpingography regarding image quality improvement and fertility enhancement: A multicentric, randomized and controlled trial

“… 4 , 5 Currently, HSG has been reported to be the most effective diagnostic method for infertility due to its reliability, availability, simplicity, and cost-effectiveness. 4 , 6 More importantly, HSG has therapeutic effects on infertility to some extent, including the treatment of proximal obstruction via tubal flushing. 6 , 7 , 8 , 9 …”

“… 4 , 6 More importantly, HSG has therapeutic effects on infertility to some extent, including the treatment of proximal obstruction via tubal flushing. 6 , 7 , 8 , 9 …”

Hysteroscopy is Gold standard in Uterine evaluation for Infertility, but HSG still has a place

“…Amongst the infertility patients in our study, 69 (65.71%) was diagnosed with primary infertility and 36 (34.29%) with secondary infertility. In similar studies by Sahu et al, 12 Wadhwa et al, 13 Amirian et al, 10 Joseph A. Adedigba et al 14 found 70-75% cases were diagnosed with primary infertility and 25-30% with secondary infertility.…”

In response to the article “The relationship between hysterosalpingography findings and female infertility in a Nigerian population”. Pol J Radiol 2020; 85: e188-e195

“…Being budding gynaecoradiologist, we read the article “The relationship between hysterosalpingography findings and female infertility in a Nigerian population” authored by Adedigba et al . with great interest [ 1 ]. In the current era of highly sophisticated imaging modalities like magnetic resonance imaging, bringing out the importance of a simple conventional imaging modality like hysterosalpingography (HSG), which is easy, cheap, and fairly informative, is worth appreciating.…”