Evaluation of radiological pattern of HSG in female patients with infertility in Katsina Northwestern Nigeria

Abstract

Context: Hysterosalpingography (HSG), is the radiographic evaluation of the uterine cavity and fallopian tubes after the administration of a contrast medium through the cervical canal. Aims: To determine the pattern of infertility, the risk factors for infertility in women presenting for HSG, and the findings among women with infertility at Federal Medical Centre Katsina. Study Design: Cross-sectional, descriptive study design. Materials and Methods: This was a retrospective study of HSG findings done at the federal medical center Katsina over a 12-month period. Information on the patients was obtained from the Picture Archiving Communication System (PACS) system which includes the presenting clinical history, the age, and the outcome of HSG. Statistical Analysis: Data analysis was performed using SPSS version 23.0. Results: A total of one hundred and forty-four (144) women were examined. Their age ranged from 17 48 years with a mean of 31.2 ± 6.3 years. The most common indication for the procedure was infertility, accounting for 89.6% of all cases. The most common Radiological finding was tubal occlusion (factor), which was seen in 40 patients constituting 28% of the radiological findings. The right tubal occlusion was seen at 11.8% while the left tubal occlusion was seen at 6.9%. Bilateral tubal occlusion was seen in 9.0%. Conclusions: The frequent indication for HSG is infertility and the common finding on HSG was a tubal factor with hydrosalpinx being the frequent cause of infertility in our environment. The right tubal occlusion constitutes a higher percentage than the left. Secondary infertility was more common than primary infertility