Hysterosalpingography: Still relevant in the evaluation of infertility in the Niger Delta

Abstract

Background: Hysterosalpingogram is an important tool in the management of female infertility. It outlines the fallopian tubes and uterine cavity. Aim: To review the hysterosalpingographic (HSG) findings in women investigated for infertility in a tertiary care center in the Niger Delta. Methods: The study reviewed 137 consecutive HSG films of women investigated for infertility between 1st January to 30th May, 2014. Result: The commonest age group was 26-30yrs (46.7%). Majority of the women were investigated for secondary infertility 98 (71.5%). Abnormal findings were found in 99(72.3%) and the commonest abnormality was tubal 67(48.9%) with bilateral tubal blockage in 20 (14.6%). Other findings include submucous fibroids in 28 (20.4%), uterine synechia 26(19.0%) and bi-cornuate uterus in 1(0.7%). Conclusion: HSG is relevant in the investigation of infertile women. Bilateral tubal occlusion from pelvic inflammatory disease, puerperal sepsis and unsafe abortions remains a major challenge in the Niger delta.

Key words: Hysterosalpingography, infertility, fallopian tube, patency, laparoscopy, endometrium