Hysterosalphingograpy Findings In Infertile Women: A Systematic Review.

Abstract

Background: Hysterosalpingography (HSG) is a valuable radiological procedure for imaging the female reproductive tract. Structural abnormalities on hysterosalpingography (HSG) are among the important factors in the evaluation of female infertility. Objectives: The study was aimed at reviewing the available literature on hysterosalpingography findings in infertile women, identifying the missing gap in the subject area, coming up which area of further that will further enhance the role of HSG in the diagnosis of infertility. Methods: The study was a systemic review that focused on the literature on the topic and keywords of research. The references were obtained using a database; IEEE Xplore, EBSCO, Cochrane and MEDLINE. The search terms used were; hysterosalpingography findings, HSG, detection of infertility, fluoroscopic examinations. The inclusion criteria are articles published in the English language, non-duplicated and those that full text is available online. Result: Eleven articles were considered for the review. Four of the articles were prospective, whereas the other seven were retrospective studies. Ten of the reviewed articles are from Africa and only one is from Asia. The most frequent finding in the reviewed articles on the two continents was bilateral tubal blockage whereas the least frequent finding is associated with the cervix. The majority of the reviewed articles used short study duration, retrospective, or small sample size.  None of the reviewed articles established a relationship between the HSG findings with demographic information or clinical history of the selected subjects. Conclusion: The findings of the published articles have proven the potentiality of HSG in detecting uterine abnormalities related to infertility. None of the reviewed articles established a relationship between the HSG findings with demographic information or clinical history of the selected subjects.