Common Hysterosalpingographic Findings in Infertility Cases in Lagos State, Nigeria.

Abstract

Background: Reproductive medicine has recently witnessed advances and hysterosalpingography has become a relatively quick and non-invasive procedure to evaluate the uterine cavity and fallopian tubes.
Purpose: This study was carried out to evaluate the common hysterosalpingographic findings in infertility cases in Lagos, South West, Nigeria.
Materials and Methods: The HSG reports of 100 patients who were referred to the department of radiodiagnosis of Lagos University Teaching Hospital between September 2010 and August 2011 were reviewed. The biodata of each patient was collated from the request forms. Fifty-seven patients (57%) were investigated for secondary infertility, while 43 patients (43%) were investigated for primary infertility.
Results: The commonest pathology found in patients presenting with infertility in this study were uterine fibroid (26%), followed by uterine adhesion (12%). There was evidence of peritubal adhesion, either bilateral or unilateral, in 10% of the patients, while tubal occlusion, either bilateral or unilateral, was reported in 7% of the cases. Hydrosalpinx occurred in only 6% of the patients. Twenty-eight patients (28%) had normal uterus and fallopian tubes.
Conclusion: Hysterosalpingography remains relevant in the investigation of mechanical causes of infertility in women.